Which is better hernia surgery open or laparoscopic surgery?

For the repair of inguinal hernia, some surgeons favor the laparoscopic approach, while others recommend open repair. While open repair can result in more scar tissue and carries higher risk of testicular and nerve injury, it is much cheaper and has a shorter surgical learning curve compared to laparoscopic repair (6).

Should I do laparoscopic or open hernia repair?

Recent studies have shown that in the short term laparoscopic repair is superior to open repair in terms of less blood loss, fewer perioperative complications, and shorter hospital stay. Long-term outcomes such as recurrence rates are yet unknown.

What is the best procedure for hernia surgery?

Open procedures use a single incision to open the abdomen and access the hernia, after which the hernia is repaired using mesh. Open procedures are ideally suited for patients with large or multiple hernias.

Which is better open surgery or laparoscopic surgery?

Conclusions: Laparoscopic surgery has demonstrably better quality-of-life outcomes than open surgery for cholecystectomy, splenectomy, and esophageal surgery. However, open hernioplasty has at least as good, if not better, health status outcomes than laparoscopic repair.

Is open hernia surgery safe?

The National Institute for Health and Care Excellence (NICE), which assesses medical treatments for the NHS, says both keyhole and open surgery for hernias are safe and work well. With keyhole surgery, there's usually less pain after the operation because the cuts are smaller.

Compare Open and Laparoscopic Hernia Repair and Decide on the Right Treatment for You

How painful is open hernia surgery?

While you may experience pain before and after hernia surgery, you will likely be asleep during surgery and will not feel any pain. In most open, laparoscopic and robotic hernia repairs, your hernia surgery will use general anesthesia during the procedure.

How long does open hernia repair take?

An open hernia repair can most often be completed in less than two hours, depending on the size and complexity of the hernia. In some cases, a mesh patch may be placed over the gap in order to support the damaged muscles.

Why is laparoscopic better than open surgery?

According to reports, a laparoscopic approach generally causes less blood loss, less trauma, and provides a faster recovery with reduced hospitalization as compared to open surgery. However, laparoscopic does require general anesthesia, and it costs more than open surgery.

Which is more painful laparoscopy or open surgery?

Only one item in the IPO questionnaire showed a significant difference between laparoscopic and open surgery. The patients from the laparoscopic group scored minimum pain at a higher level than the open surgery group ( ) (Table 2).

What is the disadvantage of laparoscopy?

Disadvantages of Laparoscopic surgery:

The surgeon has a limited range of movement from a tiny invasion hole. Poor depth perception. The surgeon has difficulty feeling tissue, hence unable to judge the force needs to be applied. It is a non-intuitive motor skill that is difficult to learn.

What type of hernia is most severe?

Strangulated hernias are life threatening and require emergency medical care.

Is robotic hernia surgery better than laparoscopic?

Among patients with robotic ventral hernia repair, two had an enterotomy compared none with laparoscopic repair. The median one month postoperative improvement in abdominal wall quality of life was 3 with robotic ventral hernia repair compared with 15 following laparoscopic repair.

How long does laparoscopic hernia surgery take?

The operation is performed under a general anaesthetic and usually takes about 30 minutes (less than an hour for a repair to both sides). Your surgeon will make a small cut on or near your belly button so they can insert an instrument in your abdominal cavity to inflate it with gas (carbon dioxide).

What is the success rate of laparoscopic hernia surgery?

A minority of patients is asymptomatic; however, even a watch-and-wait approach in this group results in surgery in approximately 70% within 5 years [1,3]. Surgical treatment is successful in the majority of cases [1]. The expected rate of recurrence following inguinal hernia repair is still 11% today [4].

Is laparoscopy safe for hernia?

Laparoscopic surgery for inguinal hernia repair is safe. The chance of a hernia coming back is low when the repair is done by an experienced surgeon who uses mesh patches. Synthetic patches are now widely used for hernia repair in both open and laparoscopic surgery.

What are the risks of laparoscopic surgery?

What are the advantages of open surgery?

OPEN SURGERY

longer recovery. more pain. larger scars. higher risks of complications such as bleeding and infection.

Is laparoscopic surgery cheaper than open surgery?

Laparoscopic appendectomy and sigmoidectomy are safe methods of minimally invasive surgery, slightly more expensive than open operations. Of all the analyzed procedures, one-day laparoscopic cholecystectomy is the most profitable.

What happens after open incisional hernia surgery?

Your Recovery

After surgery to repair your hernia, you are likely to have pain for a few days. You may also feel tired and have less energy than normal. This is common. You should feel better after a few days and will probably feel much better in 7 days.

Is hernia surgery a major surgery?

Comparing surgical repair options

Open hernia repair is a major surgery that's performed with the aid of general anesthesia or local anesthesia and sedation. It's done through one or two standard-sized incisions (three to six inches in length) that allow the surgeon to fully visualize and access the problematic area.

How long does hernia mesh last?

How Long Does Hernia Mesh Last? Most commonly used mesh materials such as polypropylene, polyester, and polytetrafluoroethylene (PTFE) will last forever and rarely ever lose their strength. Some newer mesh materials are absorbable and will break down over 6 - 18 months depending on the material.

What is the fastest way to recover from hernia surgery?

Gentle exercise, such as walking, can help you heal faster. Avoid lifting anything heavy or performing strenuous activities for at least four weeks. Sexual intercourse is permitted when you feel ready—generally, around two to three weeks post-surgery.

Can you walk after hernia surgery?

Resting after surgery is important, but walking after open hernia repair is actually recommended. In the days following your surgery, you can start walking around as soon as you are able.

Is laparoscopic hernia surgery painful?

Pain: In most cases, the area will be sore as you heal. But some people develop chronic, long-lasting pain after surgery for a groin hernia, for example. Experts think the procedure may damage certain nerves. Laparoscopic surgery may cause less pain than an open procedure.

Can a hernia be too big to repair?

For some patients, a hernia is a harmless bulge in their belly or groin that is either watched by their doctor or repaired surgically. But when an abdominal hernia gets too large, surgical repair gets much more difficult and likelier to cause complications.