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Abstract

Background: To compare the operative and postoperative outcomes in patients undergoing bilateral inguinal hernia repair using open, laparoscopic, and robotic techniques. Methods: A total of 51 patients with bilateral inguinal hernia were operated on from March 2023 to February 2024. These patients were randomly assigned into Group-A undergoing open Lichtenstein repair, Group-B undergoing laparoscopic transabdominal preperitoneal (TAPP) and Group-C undergoing robotic TAPP. In open repair a polypropylene mesh of 6X11cms was used while for laparoscopic and robotic, a mesh of 10X15cms was used and single suture, absorbable or non-absorbable tacker fixation was done. Patients were given Co-amoxiclav 1.2gm intravenous followed by oral co-amoxiclav 625mg three times a day for 3 days. Injection Ketorolac 30mg was given intravenous twice daily followed by oral Diclofenac 50mg twice daily for 3 days. Postoperative pain score using VAS was done at 12 hours and 24 hours. Patients were discharged on the 1st postoperative day and called for follow-up on the 7th postoperative day for wound examination and VAS scoring and stitch removal. Signs of infection, hematoma of wound and scrotum were assessed on 7th postoperative day. Results: A total of 51 male patients were included in the study and divided equally into three groups of 17 each. The age ranged from 41–65 years with mean age of 52.49±6.39. The mean body mass index was 21.25±2.86. Mean duration of surgery among open, laparoscopic and robotics was 76.47, 125.00 and 115.59 minutes respectively (p<0.0001). Postoperatively visual analogue score at 12 hours, 24 hours and at 7 days among the three groups was not significant. Postoperative complications including infection, hematoma, and urinary retention among the three groups were comparable. Conclusion: The duration of surgery was significantly quicker in open surgery while post operative complications and length of stay were comparable among the three groups.