Efectividad y seguridad en hernioplastias inguinales, estudio comparativo técnica convencional vs laparoscópica en el Hospital Jose Carrasco Arteaga y Hospital Vicente Corral Moscoso, Cuenca 2011-2012

Abstract

Objective: To evaluate the effectiveness and safety of laparoscopic inguinal hernia repair versus open repair in the short time.

Methodology: A prospective quasi experimental in hospital “Vicente Corral Moscoso” and hospital “José Carrasco Arteaga”, from December 2011 to December 2012, the study sample was 63 patients open repair, and 63 patients laparoscopic repair. Patients were followed at 6 hours and 24 hours, 7, 15, and 30 days.

Results: Most patients were male 73.81%, to analyze the variable pain no differences between the two groups in the 4 weeks, p values are not statistically significant, the return to activities of daily living showed differences only in car trips and bus in the first week, favoring the laparoscopic technique, with p 0.0001 and p 0.0067, respectively, also showed differences in up and down stairs with p values of 0.041 and 0.048 in the first and second week, the return to work was earlier in laparoscopic surgery with an average of 13.90 days and for conventional surgery and 18.46 days p-value of 0.005, and Kaplan Meier curve with a test with log rank p of 0.0001 and 0.0002 Wilcoxon favoring laparoscopic surgery.

Conclusion: Laparoscopic surgery showed better results in the return to work activities