Minimal Invasive Surgery for Inguinal Hernia: A Case Series of Five Patients

Ikram Fareed, Ramesh Reddy G, Sachin, Harish Kumar Pallella, Abdul Kareem Baig , Atmajita Chatterjee
Author(s)
1Assistant Professor, Department of General Surger, Vydehi Institute of medical sciences and research centre, Bengaluru, Karnataka, India. 2HOD, Department of General Surgery, Vydehi Institute of medical sciences and research centre, Bengaluru, Karnataka, India. 3Associate Professor, Department of General Surgery, Vydehi Institute of medical sciences and research centre, Bengaluru, Karnataka, India.4Senior Resident, Department of General Surgery, Vydehi Institute of medical sciences and research centre, Bengaluru, Karnataka, India
5Post Graduate, Department of General Surgery, Vydehi Institute of Medical Sciences and Research Centre, Bangalore, India

Abstract

Background: Inguinal hernia repair is one of the most frequently performed procedures in general surgery. With advances in surgical techniques, minimally invasive approaches such as laparoscopic hernia repair have gained wide acceptance due to reduced postoperative pain, faster recovery, and shorter hospital stay. Despite this, open mesh repair continues to be practiced widely, especially in resource-limited settings. This case series aims to describe the clinical profile, operative details, and short-term outcomes of patients undergoing minimally invasive surgery for inguinal hernia. Material and Methods: This case series includes five patients diagnosed with inguinal hernia who underwent laparoscopic repair using standard minimally invasive techniques. Detailed clinical evaluation, preoperative assessment, intraoperative findings, and postoperative outcomes were recorded. Variables analyzed included age, type and side of hernia, operative time, intraoperative and postoperative complications, postoperative pain, duration of hospital stay, and early recovery. All patients were followed up in the postoperative period to assess wound-related complications, pain status, and early recurrence. Results: The five patients underwent successful laparoscopic inguinal hernia repair without major intraoperative complications. The operative time was within acceptable limits for minimally invasive procedures. Postoperative pain was mild to moderate and was effectively managed with standard analgesics. Early ambulation was achieved in all patients, and the duration of hospital stay was short. Minor postoperative complications, such as seroma or transient discomfort, were observed in a few cases but resolved with conservative management. No early recurrence was noted during the follow-up period. Conclusion: Minimally invasive surgery for inguinal hernia is a safe and effective approach with favorable short-term outcomes. The technique is associated with reduced postoperative pain, early mobilization, and shorter hospital stay. This case series supports the role of laparoscopic hernia repair as a valuable option in the management of inguinal hernia.

Keywords: Inguinal hernia, minimally invasive surgery, laparoscopic hernia repair, TAPP, TEP, case series.

Outline