A Comparative Study of Laparoscopic Versus Open Herniotomy in Paediatric Age Group of 5 To 12 Years with Special Reference to Outcome
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
In the present study, I have done a randomized, prospective comparative study of ―LAPAROSCOPIC VERSUS OPEN HERNIOTOMY IN PAEDIATRIC AGE GROUP OF 5 TO 12 YEARS‖. In the Department of Surgery, R.G. Kar Medical College and Hospital, Kolkata, from January 2014 to June 2015. The aim of this study was to evaluate and compare the advantages and disadvantages between laparoscopic herniotomy and open herniotomy in patients with inguinal hernia. After randomisation, 60 patients that were included in the study group. Among them, 30 patients underwent laparoscopic herniotomy and 30 patients underwent open herniotomy. All the patients allocated to the two groups underwent the assigned procedure. Wound infections in Laparoscopic herniotomy group (6.67%) and Open herniotomy group (23.3%) p< 0.05. RTI in LH group (16.6%) and in OH group (13.3%) p = 0.7175 (statistically insignificant).UTI in LH group (6.66%) and in OH group (3.33%) p = 0.5536 (statistically insignificant).Post operative scrotal oedema in LH group (10.71%) and in OH group (32%) p = 0.0095 (statistically significant). Average operative time in LH group: 63.66 minutes and in OH group: 40.83 minutes, p < 0.05. CPPV detected in 20% cases of laparoscopic herniotomy and in nil cases in open group, p = 0.0098, the difference differ significantly. Average VAS score for cosmesis assed by the mother/guardian of patient in LH group: 1.28 and in OH group: 2.34, p < 0.05. Post operative pain was much less in LH group. p<0.0001, (60% and 40% of OH group had moderate and severe pain respectively, where as 60% and 40% patient among LH group had mild and moderate pain respectively) - pain assessed by the mother of the patient as per VAS scale. Average duration of Hospital stay in LH group: mostly 1 day and in OH group: mostly 2 days, p< 0.05. Average time to return to Normalcy in LH group: approx 3 days and in OH group: approximately 7 days, p< 0.05. The data from this study confirmed that the results of the laparoscopic technique has the advantage of reduced post operative pain, diagnosis of CPPV with its management in the same sitting, rapid return to everyday activities, lesser wound infection and better cosmetic results.
Authors and Affiliations
Dr Juthika Biswas, Dr Hansaraj Chattopadhyay, Dr Ujjwal Kumar Biswas, Dr Sanjit Biswas, Dr. Debarshi Jana
Keywords
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- EP ID EP557897
- DOI 10.9790/0853-1803143135.
- Views 58
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