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Life sciences · Journal article
Journal of Minimal Access Surgery · September 3, 2026
Well-designed and adequately powered for the question it asks.
This multi-centre prospective observational study of 2679 Indian patients found that laparoscopic inguinal hernia repair was associated with significantly lower postoperative day-one pain, reduced major medical complications, lower surgical site infection at 30 days, and less chronic groin pain at 90 days compared to open repair, with no significant difference in recurrence at 90 days. The large sample and standardized outcome assessment strengthen the findings, but the non-randomized design and baseline imbalances between groups warrant caution in attributing differences to technique alone.
Multi-centre prospective observational study. All patients undergoing inguinal hernia repair at participating centres during the 3-month collection period in India. Intervention: Laparoscopic inguinal hernia repair. Compared with: Open inguinal hernia repair. n = 2,679. Multiple centres in India; coordinated by Sir Ganga Ram Hospital in collaboration with the Indian Association of Gastrointestinal Endo Surgeons.
Laparoscopic group was significantly older with higher body mass index; bilateral hernias more common in laparoscopic group Laparoscopic repair demonstrated significantly lower post-operative day-one pain scores Laparoscopic repair had reduced major medical complications and lower surgical site infection rates at 30 days
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These findings suggest laparoscopic repair may offer patient benefits including reduced acute and chronic pain for appropriately selected patients in the Indian healthcare context, particularly for bilateral hernias, obese patients, and those with comorbidities. However, surgeons should recognize baseline differences between groups and consider that observed advantages may partly reflect patient selection rather than technique alone.
Large prospective multi-centre observational study of 2679 patients showing clinically meaningful differences in pain, complications, and chronic pain favoring laparoscopic repair, though lack of randomization and potential confounding limit definitive causal inference.
As stated by the source record.
Quoted from the source exactly as published.
These findings suggest laparoscopic repair may offer patient benefits including reduced acute and chronic pain for appropriately selected patients in the Indian healthcare context, particularly for bilateral hernias, obese patients, and those with comorbidities. However, surgeons should recognize baseline differences between groups and consider that observed advantages may partly reflect patient selection rather than technique alone.
Graded across the dimensions that decide whether you should act, each from what the source actually supports. There is no single score, and where a dimension was not assessed it says so.
Abstract Introduction: Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide, yet limited large-scale data exist comparing open and laparoscopic approaches in the Indian population. This study aimed to compare outcomes between these surgical techniques across multiple centres in India. Patients and Methods: This multi-centric prospective observational study was conducted by Sir Ganga Ram Hospital in collaboration with the Indian Association of Gastrointestinal Endo Surgeons. Data on all groin hernia surgeries performed over 3 months were collected, with patient outcomes assessed at 30 and 90 days postoperatively using the Clavien–Dindo classification system. Results: A total of 2679 patients underwent inguinal hernia repair: 1592 underwent open surgery and 1087 underwent laparoscopic surgery. The laparoscopic group was significantly older with higher body mass index, and bilateral hernias were more common. Laparoscopic repair demonstrated significantly lower post-operative day-one pain scores, reduced major medical complications and lower surgical site infection rates at 30 days. Chronic groin pain at 90 days was significantly less common in the laparoscopic group. No significant differences in recurrence rates were observed at 90 days. Conclusion: This large-scale Indian study demonstrates that laparoscopic inguinal hernia repair offers significant advantages, including reduced post-operative pain, lower complication rates and decreased chronic groin pain compared to open repair. The findings support selective laparoscopic application for bilateral hernias, obese patients and those with metabolic comorbidities while highlighting the need for standardised protocols in Indian healthcare settings.
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