[Laparoscopic preperitoneal and Lichtenstein inguinal hernia repair. What method is preferable?]

Area of Science:

• Surgical innovation
• Minimally invasive surgery
• General surgery

Background:

• Inguinal hernias are a common surgical condition.
• Laparoscopic preperitoneal and open Lichtenstein repairs are prevalent treatment methods.
• Comparative analysis of these techniques is crucial for surgical decision-making.

Purpose of the Study:

• To compare laparoscopic preperitoneal and open Lichtenstein inguinal hernia repair techniques.
• To analyze indications, contraindications, and surgical features of endoscopic repair.
• To evaluate early and long-term outcomes of both surgical approaches.

Main Methods:

• Systematic review of literature from PubMed, Google Scholar, Springer Link, and Cochrane Library.
• Analysis of prospective and retrospective studies comparing laparoscopic and open inguinal hernia repair.
• Estimation of conversion rates, complications, and recurrence rates.

Main Results:

• Laparoscopic preperitoneal repair offers potential advantages in certain patient groups.
• Open Lichtenstein repair remains a reliable standard treatment.
• Factors influencing conversion from laparoscopic to open surgery were identified.

Conclusions:

• Both laparoscopic preperitoneal and open Lichtenstein repairs are effective for inguinal hernias.
• Patient selection and surgeon expertise are key to optimizing outcomes.
• Further research may refine indications for minimally invasive inguinal hernia repair.