Laparoscopic Versus Open Mesh Repair of Bilateral Primary Inguinal Hernia

Laparoscopic Versus Open Mesh Repair of Bilateral Primary Inguinal Hernia; 3 Armed Randomized Study

The best approach for simultaneous repair of bilateral inguinal hernia is controversial. The aim of this study is to compare the outcomes after laparoscopic versus open mesh repair of bilateral primary inguinal hernia

This prospective study included 180 patients with bilateral primary inguinal hernia; randomized by sealed envelopes into 3 groups; each includes 60 patients. Group I treated by laparoscopic trans-abdominal pre-peritoneal (TAPP) repair using 2 separate meshes, Group II treated by open pre-peritoneal (PP) single mesh repair, while Group III treated by bilateral Lichtenstein repair. The 3 groups were compared regarding: operative time, postoperative complications, postoperative pain, 3 years-recurrence rate and patient's satisfaction.

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Inclusion Criteria:

• Patients with painless uncomplicated primary bilateral inguinal hernias

Exclusion Criteria:

• Immune compromised patients
• Coagulopathy
• Chronic liver or renal disease
• High-risk patients unfit for major surgery (ASA III or IV),
• Massive scrotal hernias, Recurrent or Complicated hernias
• Groin pain due to any other pathology
• Previous infra-umbilical surgery