Comparative Analysis of Laparoscopic vs. Open Inguinal Hernia Repair in Obese Patients: A Systematic Review and Meta-Analysis

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Malaz Babiker Ibrahim Mustafa, Salah Eldin Elhussien Abdelwahab Mohamed, Preethika Anbalagan, Ghassan Khalafallah Adlan AbdulSadiq, Abdullateef Eltayib Eltahir Ibrahim, Zohair Salaheldin Mohammed Yousef, Saad Jbour, Mugtaba Altayeb Mohammed Hessein, Jamal Ayoub, Gitty George, Mohamad Osman

Abstract

Background: The surgical repair of inguinal hernias maintains its position as one of the most frequently performed operations throughout the globe. The rise in obesity rate makes surgical outcomes more demanding and technical because it affects both patient anatomy and operative risks. Laparoscopic and open inguinal hernia repair procedures remain standard surgical treatments yet experts disagree about their advantages and protection capabilities within obese patient cohorts..


Objectives: The study examined laparoscopic versus open inguinal hernia procedures for obese patients to evaluate their postoperative results alongside complication rates and recurrence frequencies and operational durations and recovery periods.


Methodology: The research conducted a structured review and statistical analysis of laparoscopic removal as well as open inguinal hernia surgery approaches in patients who were obese. It evaluated both surgical outcomes and rates of complications as well as recurrence risks and operation times and recovery duration.


Results: A systematic review with meta-analysis evaluated laparoscopic versus open inguinal hernia surgery in obese patients through assessment of postoperative results along with complication frequency and recurrence patterns and procedural duration and recuperation times.


Conclusion: For obese patients Laparoscopic inguinal hernia repair provides superior outcomes than open procedures because it results in lower complication frequency and shorter hospital duration as well as enhanced postoperative healing. Extended surgical procedures require specialized expertise along with longer operating durations which continue to be the barriers in this approach. Large-scale randomized controlled trials need to be conducted to both confirm these findings and develop precise selection parameters for patients undergoing different surgical procedures

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