ENDOSCOPIC INGUINAL HERNIA REPAIR: EVALUATION OF EARLY POSTOPERATIVE OUTCOMES

Abstract

Laparoscopic inguinal hernia repair has been established since the early 1990s as minimally invasive techniques gained prominence in general surgical practice. Inguinal hernias represent one of the most prevalent conditions in general surgery, accounting for approximately 80% of all anterior abdominal wall hernias. These hernias can substantially impair patient quality of life, causing pain, restricted physical activity, reduced work capacity, and limitations in performing daily tasks. Surgical intervention remains the only definitive treatment, with multiple operative approaches available, each associated with specific risks and clinical outcomes.
This study presents a combined retrospective and prospective analysis evaluating the clinical outcomes of laparoscopic inguinal hernia repair in a cohort of 80 patients. The analysis focused on intraoperative and early postoperative complications, postoperative pain management, and the time required for patients to return to work and resume normal activities. All participants were male patients aged 18 years or older, with diagnoses confirmed through standardized clinical assessment.
No major intraoperative complications were observed. Minor early postoperative complications occurred in six categories: urinary retention (2.5%), seroma formation (5.0%), wound hematoma (3.75%), hydrocele formation (2.5%), ischemic orchitis (1.25%), trocar-related complications (1.25%), and transient neurological symptoms including numbness or paresthesia (3.75%). Analgesic requirements were minimal, with an average consumption of 3.0 pills per patient during the immediate postoperative period. The mean time to return to work and normal daily activities was 3.5 ± 1.4 days, demonstrating rapid postoperative recovery.
The observed complication rates and recovery periods are comparable to or superior to those reported in prior studies evaluating both laparoscopic and open hernia repair techniques. These findings reinforce the safety, efficacy, and clinical reliability of laparoscopic inguinal hernia repair when performed by experienced surgeons. Key factors contributing to optimal outcomes include precise surgical technique, structured perioperative management, and careful patient selection.
Laparoscopic inguinal hernia repair represents a technically robust and clinically effective approach, characterized by low intraoperative and postoperative complication rates, minimal postoperative pain, and expedited return to daily and occupational activities. These advantages enhance overall patient well-being, quality of life, and satisfaction with surgical care. The evidence supports the continued adoption of laparoscopic techniques as a preferred approach in contemporary hernia surgery, emphasizing the critical role of surgical expertise, adherence to standardized protocols, and ongoing professional development to maintain high standards of patient outcomes.