Comparison between conventional vs laparoscopic inguinal hernioplasty in the Riobamba General Hospital, IESS. 2018
DOI:
https://doi.org/10.29166/rfcmq.v45i1.3218Keywords:
Open surgery, postsurgical complications, inguinal hernia, laparoscopyAbstract
Aim: to contrast inguinal hernioplasty by open surgery vs. laparoscopic procedure at the Riobamba General
Hospital during 2018.
Method: retrospective observational study. Information was retrieved from the operated cases (demography,
surgical technique, operative time, hospital stay, and postoperative complications). The results between both
techniques were contrasted using the Fisher test (qualitative variables), Student's t and Mann-Whitney U test
(quantitative).
Results: A total of 106 cases underwent inguinal hernioplasty were included, 74 by conventional surgery and
32 by laparoscopy. A complication rate among those who underwent conventional surgery was estimated to be
18.9% (14/74), while in the group who underwent laparoscopic surgery it was 18.8% (6/32) (p = 0.95). Compared
with conventional surgery, a shorter operative time (65 vs. 50 minutes; p = 0.3) and hospital stay (53 vs. 46 hours;
p = 0.31) was also estimated in patients operated on by laparoscopy.
Conclusion: In the context of surgical management of inguinal hernia, the laparoscopic approach is associated
with a non-significant reduction in operative time, hospital stay and rate of postoperative complications, compared
to open surgery.
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