Outcomes of Laparoscopic versus Open Repair of Inguinal Hernia

Background: Inguinal hernia surgery remains among the widely practiced procedures in general surgery, even though the optimal approach remains a subject of continuous evaluation.
Objective: This study aimed to investigate how laparoscopic and open inguinal hernia repairs differ in terms of pain after surgery, complications, healing time, and recurrence risk.
Methods: Over a six-month period at Sohag University Hospital, a prospective cohort study was conducted involving 50 patients with inguinal hernia. Participants were randomly divided to receive either laparoscopic or open Lichtenstein repair, with outcomes assessed over a six-month follow-up.
Results: Patients in the laparoscopic group experienced a faster recovery and less postoperative pain than those in the open repair group. However, both groups showed similar rates of complications and hernia recurrence throughout the follow-up period.
Conclusion: While both approaches were effective, laparoscopic repair offered improved postoperative comfort and quicker return to daily activities. However, surgical expertise, patient selection, and resource availability remain critical factors in determining the optimal technique.