JOURNAL OF IQRO – ЖУРНАЛ ИҚРО – IQRO JURNALI – volume 14, issue 02, 2025
ISSN: 2181-4341, IMPACT FACTOR ( RESEARCH BIB ) – 7,245, SJIF – 5,431
ILMIY METODIK JURNAL
Naorem Shreyasi
5th year student
Tashkent Medical Academy, Uzbekistan
Email:
COMPARING LAPAROSCOPIC AND OPEN HERNIA REPAIR: LONG-TERM
OUTCOMES AND COMPLICATIONS
Abstract:
Hernia repair is one of the most common surgical procedures performed globally, with
laparoscopic and open hernia repair methods being widely used. Recent advancements in
surgical techniques have influenced patient outcomes, recurrence rates, and complication risks.
This study compares the long-term outcomes and complications of both techniques, emphasizing
their respective advantages and limitations. Laparoscopic repair has been associated with lower
postoperative pain and faster recovery but is often more expensive. Open repair remains cost-
effective but presents a higher risk of complications and longer recovery periods. The choice of
surgical approach should consider individual patient factors, economic feasibility, and clinical
outcomes.
Keywords.
Hernia repair, laparoscopic surgery, open surgery, recurrence rate, patient
satisfaction, surgical complications.
Introduction.
Hernia repair techniques have evolved significantly, with laparoscopic and open repair methods
being the primary surgical approaches. The International Endohernia Society emphasizes the
importance of updated guidelines to standardize surgical strategies and improve patient outcomes
(Bain et al.). Laparoscopic repair is often associated with reduced postoperative pain and quicker
recovery, though outcomes vary based on patient factors (Berrevoet et al.). As new methods
emerge, such as robotic-assisted repairs and novel tissue techniques, it becomes essential to
critically evaluate their effectiveness compared to traditional approaches.
Hernia repair success relies on factors like mesh type and fixation methods. Lightweight meshes
are increasingly preferred due to their biomechanical properties, facilitating better integration
and potentially reducing recurrence rates. The debate between titanium tacks and newer
absorbable tacks remains ongoing, as studies suggest that the efficacy of absorbable tacks is still
inconclusive (Baldazzi et al.). This study aims to provide a comprehensive comparison of the
long-term outcomes and complications associated with laparoscopic and open hernia repair.
Methods.
A review of existing literature, clinical studies, and guidelines was conducted to compare long-
term outcomes, recurrence rates, patient satisfaction, and cost-effectiveness of laparoscopic
versus open hernia repair. Sources included studies on mesh prosthesis efficiency, recurrence
rates, and economic evaluations.
Results.
Long-Term Outcomes of Laparoscopic Hernia Repair:
JOURNAL OF IQRO – ЖУРНАЛ ИҚРО – IQRO JURNALI – volume 14, issue 02, 2025
ISSN: 2181-4341, IMPACT FACTOR ( RESEARCH BIB ) – 7,245, SJIF – 5,431
ILMIY METODIK JURNAL
Laparoscopic hernia repair has been shown to offer several advantages, including:
Lower recurrence rates: The cumulative hernia recurrence rate using the polyester
composite prosthesis (Parietex™ Composite Ventral Patch) was reported at 3.0% over two years
(Berrevoet et al.).
High patient satisfaction: About 99% of patients expressed contentment with their repair
after 24 months (Berrevoet et al.).
Faster recovery and reduced postoperative pain: Patients returned to normal activities sooner,
contributing to higher overall satisfaction.
Cost considerations: Despite its benefits, laparoscopic repair is often more expensive
compared to open flat mesh repair, which is considered more cost-effective for preventing
recurrences (Aitola et al.).
Long-Term Outcomes of Open Hernia Repair:
While open hernia repair remains widely used, its long-term outcomes vary based on surgical
technique and patient-specific factors:
Recurrence rates: Generally cited around 10% within five years, though this varies (Bain et
al.).
Higher incidence of complications: Wound infections, hematomas, and prolonged pain are
more common compared to laparoscopic repair (Group AHTA et al.).
Cost-effectiveness: Open flat mesh repair is considered more cost-effective than
laparoscopic procedures (Aitola et al.).
Longer recovery times: Patients undergoing open repair often experience extended recovery
periods, increasing healthcare costs and delaying return to normal activities (Berloco et al.).
Image 1.
Image 2.
Discussion.
Comparing laparoscopic and open hernia repair techniques highlights key differences in patient
outcomes, recovery times, and economic factors. Studies indicate that laparoscopic repair leads
to lower recurrence rates than open sutured repairs, with a 7.7% recurrence rate for sutured
repairs compared to 6.2% for laparoscopic repairs in elective epigastric hernia repair (M.W.
Christoffersen et al.). Additionally, research suggests that laparoscopic TEP repairs yield similar
JOURNAL OF IQRO – ЖУРНАЛ ИҚРО – IQRO JURNALI – volume 14, issue 02, 2025
ISSN: 2181-4341, IMPACT FACTOR ( RESEARCH BIB ) – 7,245, SJIF – 5,431
ILMIY METODIK JURNAL
outcomes in elderly patients compared to younger counterparts, making it a viable option across
different age groups (Buccelletti et al.)
The choice between laparoscopic and open repair should be guided by patient demographics,
surgical costs, and hernia type. Laparoscopic repair, while effective in reducing postoperative
pain and recurrence rates, is less cost-effective than open repair (Aitola et al.). Additionally,
mesh fixation techniques remain a debated topic, as trials suggest that while absorbable tacks
may reduce pain, their impact on recurrence rates remains uncertain (Baldazzi et al.).
Conclusion.
The comparative analysis of laparoscopic and open hernia repair techniques reveals distinct
advantages and limitations for each approach. Laparoscopic surgery generally leads to lower
recurrence rates and quicker recovery but is associated with higher costs. Open repair, while
cost-effective, carries a greater risk of complications and prolonged recovery. The choice of
technique should consider patient-specific factors, cost implications, and long-term outcomes to
optimize surgical decision-making.
Table 1 : Comparison of Laparoscopic and Open Hernia Repair (summary)
Factor
Laparoscopic Repair
Open Repair
Recurrence Rate
~3.0%
(2
years)
(Berrevoet et al.)
~10% (5 years) (Bain et al.)
Patient Satisfaction
99% (Berrevoet et al.)
Moderate
Recovery Time
Faster
Longer
Postoperative Pain
Less
More
Complications
Fewer
More frequent (Group AHTA et
al.)
Cost
Higher (Aitola et al.)
Lower (Aitola et al.)
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JOURNAL OF IQRO – ЖУРНАЛ ИҚРО – IQRO JURNALI – volume 14, issue 02, 2025
ISSN: 2181-4341, IMPACT FACTOR ( RESEARCH BIB ) – 7,245, SJIF – 5,431
ILMIY METODIK JURNAL
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