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Outcomes of Laparoscopic Inguinal Hernia Repair: An Observational Study from a Tertiary Care Hospital in North-East India

Year: 2025

Type: article

Abstract: Background: Inguinal hernia repair is one of the most commonly performed general surgical procedures.With the advancement of minimally invasive techniques, laparoscopic inguinal hernia repair has gained increasing acceptance due to its reduced postoperative morbidity, early recovery, and better cosmetic results.However, it is not without complications, and outcomes may vary depending on patient profile and surgical technique.Methods: This cross-sectional observational study was conducted in the Department of General Surgery, AGMC & GBPH, over 18 months.A total of 45 patients undergoing laparoscopic inguinal hernia repair were included.Data were collected on demographics, risk factors, comorbidities, type of hernia, surgical procedure (TEP vs TAPP), intraoperative findings, postoperative complications, and hospital stay.Statistical analysis was performed using SPSS software, with significance considered at p < 0.05.Results: Among 45 patients, 97.8% were male and 73.3% were above 50 years of age.TEP was performed in 53.3% and TAPP in 46.7%.No intraoperative complications were noted.Postoperatively, 22 patients (48.9%) developed complications, the most common being scrotal edema (22.2%) and urinary retention (13.3%).Significant association was found between postoperative complications and comorbidities (p=0.03), and the number of hernias (p=0.007).The mean hospital stay was 4.53 days.One patient (2.2%) developed recurrence during follow-up.There was no mortality.Conclusion: Laparoscopic inguinal hernia repair is safe and effective with acceptable complication rates.Scrotal edema and urinary retention were the most frequent complications.Patients with comorbidities and bilateral hernias were at higher risk of postoperative complications.Proper patient counselling, optimization of comorbidities, and meticulous surgical technique are essential to achieve better outcomes.

Source: SSR Institute of International Journal of Life Sciences

DOI: 10.21276/ssr-iijls.2025.11.5.34

Authors: Sourav Das, Nilotpal Chakma, Pritam Das, Nazaru Debbarma, Bijit Lodh

Institution: Agartala Government Medical College

Language: English

Topic: Hernia repair and management

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4415206614

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