Page 31 - World Journal of Laparoscopic Surgery

Open vs Laparoscopic Inguinal Hernia Repair
paracetamol alone, or no analgesia. However, opioid dose per kg 5. Salma U, Ahmed I, Ishtiaq S. A comparison of post-operative pain
body weight did not differ based on the BMI category, contradicting and hospital stay between Lichtenstein’s repair and laparoscopic
a previous report of 30% less morphine consumption per kg body transabdominal preperitoneal (TAPP) repair of inguinal hernia: a
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weight in obese than healthy-weight patients. Given the increased randomized controlled trial. Pak J Med Sci 2015;31(5):1062–1066.
prevalence of intake of opioid(s) in combination with NSAID and/or 6. Lichtenstein L, Shulman A, Amid P, et al. The tension-free hernioplasty.
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and that higher BMI is a predictor of chronic pain post-surgery, 15,23 randomized comparison of open vs laparoscopic transabdominal
which has a significant health burden, this is clinically relevant. preperitoneal (TAPP) inguinal hernia repair under different
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study. However, age was a confounding factor, with a significant 8. Gokalp A, Inal M, Maralcan G, et al. A prospective randomized study
correlation between age and hospital stay duration. Considering of Lichtenstein open tension-free vs laparoscopic totally extra
that patients in the open surgery group were significantly older peritoneal techniques for inguinal hernia repair. Acta Chir Belg
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open surgery may have been associated with a shorter hospital stay single-incision vs multi-incision laparoscopic surgery for inguinal
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on hospital stay after incisional hernia repair. The impact of 10.1016/S1743-9191(13)60008-4.
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economics considering the large costs associated with this. 30 hernia: randomized multicentre trial comparing laparoscopic and
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World Journal of Laparoscopic Surgery, Volume 13 Issue 1 (January–April 2020) 29