Minimally Invasive Approaches to Hernia Repair: A Multicenter Study of Laparoscopic Techniques in Bangladesh
DOI:
https://doi.org/10.70818/iarjmsr.2024.v05i05.0141Keywords:
Laparoscopic Surgery, Hernia Repair, Minimally InvasiveAbstract
Background: Hernia repair is a common surgical procedure globally, and minimally invasive techniques like laparoscopic surgery are gaining prominence for their reduced recovery time and postoperative complications. Objective: This study aimed to evaluate the outcomes of laparoscopic hernia repair in a multicenter setting across Bangladesh, comparing it with conventional open surgery. Method: A prospective multicenter study was conducted from June 2022 to December 2023 in tertiary-level hospitals in Bangladesh. A total of 224 patients were included, all undergoing laparoscopic or open hernia repair. Variables such as operative time, postoperative pain, hospital stay duration, and complication rates were analyzed. Results: Of the 224 patients, 112 underwent laparoscopic hernia repair, while 112 received open surgery. The average operative time for the laparoscopic group was 55 minutes, compared to 70 minutes for the open surgery group. Postoperative pain scores were significantly lower in the laparoscopic group (3.2 vs. 5.6). The laparoscopic group had a shorter average hospital stay (1.5 days) compared to the open surgery group (3.8 days). Complication rates were lower in the laparoscopic group (8%) versus the open surgery group (15%). Conclusions: Laparoscopic hernia repair proved to be a safer and more effective option in terms of reduced pain, faster recovery, and lower complication rates, making it a viable alternative for hernia repair in Bangladesh.
References
Rahman, A., Rahman, A., Rahman, M., & Rahman, M. (2023). Comparative Study of Postoperative Outcome between Laparoscopic Mesh Repair & Open Mesh Repair of Inguinal Hernia Patient in Tertiary Care Hospital in Bangladesh. SAS J Surg, 12, 977-981.
Madion, M., Goldblatt, M. I., Gould, J. C., & Higgins, R. M. (2021). Ten-year trends in minimally invasive hernia repair: a NSQIP database review. Surgical Endoscopy, 1-9.
Bullen, N. L., Massey, L. H., Antoniou, S. A., Smart, N. J., & Fortelny, R. H. (2019). Open versus laparoscopic mesh repair of primary unilateral uncomplicated inguinal hernia: a systematic review with meta-analysis and trial sequential analysis. Hernia, 23, 461-472.
Prole, L., Đurović-Todorović, J., & Božić, D. (2022). Interdependence of Public Health Expenditure Efficiency and Economic Development in Growing OECD Economies and the Republic of Serbia. Economic Themes, 60(4), 551-565.
Momen, M. M., Sarker, A. K., Paul, D. P., Das, D., Akhter, S., & Habibullah, T. (2020). Comparison of Laparoscopic VS Open Inguinal Hernioplasty in a Tertiary Care Hospital. Journal of Enam Medical College, 10(1), 17-22.
Newaz, A. A. S., Niaz, M. K., Arafat, M. Y., Ahmed, F., Raha, A., Islam, S., ... & Hossain, M. S. (2022). Official Organ of Bangladesh Medical Association. Bangladesh Med J, 51(2).
Patterson, T. J., Beck, J., Currie, P. J., Spence, R. A. J., & Spence, G. (2019). Meta-analysis of patient-reported outcomes after laparoscopic versus open inguinal hernia repair. Journal of British Surgery, 106(7), 824-836.
Sagar, S. I. U., Hossain, M. A., Yusuf, M. A., Sultana, R., & Azad, M. A. K. (2023). Comparison of Open Lichtenstein Repair and Laparoscopic Transabdominal Preperitoneal of Inguinal Hernia: A Pragmatic RCT in Bangladesh. Journal of Current and Advance Medical Research, 10(1), 35-40.
Shkaraban, V. P., Bulyk, I. I., Vasyliuk, S. M., Prudnikov, O. V., Labyak, I. R., Bitska, S. V., & Pavliuk, N. M. (2023). Modern approach to inguinal hernia surgery. Kharkiv Surgical School, (1-2), 151-156.
Techapongsatorn, S., Tansawet, A., Pattanaprateep, O., Attia, J., Mckay, G. J., & Thakkinstian, A. (2022). Cost-effectiveness analysis of mesh fixation techniques for laparoscopic and open inguinal hernia surgeries. BMC Health Services Research, 22(1), 1125.
Lyu, Y., Cheng, Y., Wang, B., Du, W., & Xu, Y. (2020). Comparison of endoscopic surgery and Lichtenstein repair for treatment of inguinal hernias: a network meta-analysis. Medicine, 99(6), e19134.
Gudigopuram, S. V. R., Raguthu, C. C., Gajjela, H., Kela, I., Kakarala, C. L., Hassan, M., ... & Sange, I. (2021). Inguinal hernia mesh repair: the factors to consider when deciding between open versus laparoscopic repair. Cureus, 13(11).
Asencio, F., Carbó, J., Ferri, R., Peiró, S., Aguiló, J., Torrijo, I., ... & Andreu-Ballester, J. C. (2021). Laparoscopic versus open incisional hernia repair: long-term follow-up results of a randomized clinical trial. World Journal of Surgery, 45(9), 2734-2741.
Rutegård, M., Lindqvist, M., Svensson, J., Nordin, P., & Haapamäki, M. M. (2021). Chronic pain after open inguinal hernia repair: expertise-based randomized clinical trial of heavyweight or lightweight mesh. British Journal of Surgery, 108(2), 138-144.
Elmessiry, M. M., & Gebaly, A. A. (2020). Laparoscopic versus open mesh repair of bilateral primary inguinal hernia: A three-armed Randomized controlled trial. Annals of Medicine and Surgery, 59, 145-150.
Chang, A. Y., Cowling, K., Micah, A. E., Chapin, A., Chen, C. S., Ikilezi, G., ... & Qorbani, M. (2019). Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050. The Lancet, 393(10187), 2233-2260.
Ferranti, F. (2023). Incarcerated Inguinal Hernia in the Elderly: Surgical Implication. In Hernia Updates and Approaches. IntechOpen.
Hussain, M. D., Rahman, M. H., & Ali, N. M. (2024). Investigation of Gauss-Seidel Method for Load Flow Analysis in Smart Grids. Sch J Eng Tech, 5, 169-178.
Hossain, Q., Yasmin, F., Biswas, T. R., & Asha, N. B. (2024). Integration of Big Data Analytics in Management Information Systems for Business Intelligence. Saudi J Bus Manag Stud, 9(9), 192-203.
Chowdhury, A. S., Biswas, B., Nisa, F. J., Akter, S. A., & Sraboni, S. A. S. (2024). Dietary Patterns and Breast Cancer Susceptibility; An Age-Tailored Case-Control Analysis. Bangladesh Journal of Food and Nutrition, 1(1), 35-51.
Ali, A. S., & Sultana, N. (2020). Nurse's Practice Regarding Nursing Documentation in Rangpur Medical College Hospital. Asia Pacific Journal of Nursing Research, 1(1), 29-35.
Begum, M. M. M. (2024). Hepatocellular Carcinoma in a 55-Year-Old with Chronic Hepatitis B: A Case Report on Diagnosis and Management. Asia Pacific Journal of Cancer Research, 1(1), 32-35.
GÖK, M. A., & KAFADAR, M. T. (Eds.). (2020). Fıtık Cerrahisi. Akademisyen Kitabevi.
Hasan, H., Rahman, M. H. ., Haque, M. A., Rahman, M. S. ., Ali, M. S. ., & Sultana, S. . (2024). Nutritional Management in Patients with Chronic Kidney Disease: A Focus on Renal Diet. Asia Pacific Journal of Medical Innovations, 1(1), 34-40.
Baset, M. A. ., Rumi, M. A. U. ., & Karim, M. . (2024). Comparative Efficacy of Methotrexate and Baricitinib as First-Line Therapy in Seropositive Rheumatoid Arthritis; A Clinical Study. Asia Pacific Journal of Medical Innovations, 1(1), 14-23.
El-Ghaffar, A., Abd E, A., Elshafey, M. H., Ghonaim, A. E. M., & Amer, Y. (2019). Open mesh versus laparoscopic mesh repair of inguinal hernia. The Scientific Journal of Al-Azhar Medical Faculty, Girls, 3(2), 378-386.
Verdolin Campos De Azevedo, B. (2022). The use of emergency department visits after laparoscopic cholecystectomy as a measure of surgical quality.
Haque, M. A., Islam, M. I., & Hasan, H. (2024). Successful Surgical Creation and Management of an Arteriovenous Fistula: A Case Report. Asia Pacific Journal of Surgical Advances, 1(1), 34-
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Copyright (c) 2024 Dr. Md. Muktar Hossain, Dr. Md. Anwarul Haque, Dr. Md. Shahidul Islam, Dr. Kazi Shah Md. Abdullah, Dr. Md. Alim Al Razy (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
