Tinjauan Sistematis: Komplikasi dan Kekambuhan pada Perbaikan Hernia Inguinalis Laparoskopik VS Terbuka
DOI:
https://doi.org/10.55606/jikki.v6i1.9955Keywords:
Inguinal Hernia, Laparoscopy, Open Technique, Postoperative Complications, Recurrence RateAbstract
Inguinal hernia represents the most common surgical condition with lifetime prevalence of 27% in men and 3% in women, requiring optimal definitive surgical intervention. To analyze and compare complications and recurrence rates between laparoscopic and open inguinal hernia repair based on current literature. Systematic review following PRISMA 2020 guidelines with literature search on PubMed, Scopus, Web of Science, and Cochrane Library from 2019-2025. Ten studies involving 95,192 patients were analyzed including randomized controlled trials, cohort studies, and national database analyses. Laparoscopic technique demonstrated lower acute postoperative pain, faster recovery, and shorter hospital stay. However, inguinodynia was reported higher in laparoscopic (9.4-14.1%) compared to open (1.5%) in several early studies. Long-term recurrence rates in adult population showed comparable results between both techniques when performed by experienced surgeons, while in pediatric bilateral cases there was tendency of higher recurrence in laparoscopic (3.7% vs 2.0% at 3 years). Technique selection should be individualized considering patient characteristics, hernia type, surgeon experience, and patient preference. Laparoscopic technique is optimal for bilateral hernias and patients requiring rapid recovery, while open remains safe choice in populations with severe comorbidities.
References
Almutairi, H., Alshammari, R. S., Alharbi, M. J., Althobaiti, D. M., Alghamdi, R. S., Alsamiri, S., Mawash, S. W., Ahmed, D. A., Alamoudi, A. A., Arif, F. Y., Albrahim, F. M., Alfehaid, M., & Alanzy, H. W. (2024). Laparoscopic management of inguinal hernia: A systematic review and updated network meta-analysis of randomized controlled trials. Cureus, 16(2), 1–9. https://doi.org/10.7759/cureus.54192
Andresen, K., & Rosenberg, J. (2024). Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair. Cochrane Database of Systematic Reviews, 2024(7). https://doi.org/10.1002/14651858.CD004703.pub3
Corthals, S., Van Cleven, S., Uyttebroek, O., de Carvalho, L. A., Vanlander, A., & Berrevoet, F. (2021). Quality of life after open versus laparoscopic preperitoneal mesh repair for unilateral inguinal hernias. Asian Journal of Surgery, 44(10), 1266–1273. https://doi.org/10.1016/j.asjsur.2021.03.014
Ducey, J., Peters, R. T., Wilkinson, D. J., Verhoef, C., & Lansdale, N. (2022). Laparoscopic inguinal herniotomy: Recreating the open operation optimizes outcomes. Journal of Pediatric Surgery, 57(2), 271–274. https://doi.org/10.1016/j.jpedsurg.2021.10.042
Elmessiry, M. M., & Gebaly, A. A. (2020). Laparoscopic versus open mesh repair of bilateral primary inguinal hernia: A three-armed randomized controlled trial. Annals of Medicine and Surgery, 59, 145–150. https://doi.org/10.1016/j.amsu.2020.08.055
Fujiogi, M., Michihata, N., Matsui, H., Fushimi, K., Yasunaga, H., & Fujishiro, J. (2019). Outcomes following laparoscopic versus open surgery for pediatric inguinal hernia repair: Analysis using a national inpatient database in Japan. Journal of Pediatric Surgery, 54(3), 577–581. https://doi.org/10.1016/j.jpedsurg.2018.03.015
Guidi Lyra, V., Brandão dos Santos, S., Bevilacqua Trigo Rocha, C., Guimarães, F. A. G., & Riva, W. J. (2024). Comparison of postoperative chronic inguinal pain between the Lichtenstein and laparoscopic techniques in the treatment of inguinal hernia: A systematic review and meta-analysis. Hernia, 28(5), 1537–1546. https://doi.org/10.1007/s10029-024-03099-5
Hidalgo, N. J., Guillaumes, S., Bachero, I., Butori, E., Espert, J. J., Ginestà, C., Vidal, Ó., & Momblán, D. (2023). Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP). BMC Surgery, 23(1), 1–10. https://doi.org/10.1186/s12893-023-02177-2
Higgins, J. P. T., & Green, S. (2008). Cochrane handbook for systematic reviews of interventions. https://doi.org/10.56645/jmde.v6i14.284
Huerta, S., Timmerman, C., Argo, M., Favela, J., Pham, T., Kukreja, S., Yan, J., & Zhu, H. (2019). Open, laparoscopic, and robotic inguinal hernia repair: Outcomes and predictors of complications. Journal of Surgical Research, 241, 119–127. https://doi.org/10.1016/j.jss.2019.03.046
Linn, J. G., Mallico, E. J., Doerhoff, C. R., Grantham, D. W., & Washington, R. G. (2023). Evaluation of long-term performance of an intraperitoneal biomaterial in the treatment of ventral hernias. Surgical Endoscopy, 37(5), 3455–3462. https://doi.org/10.1007/s00464-022-09803-9
Lorenz, W. R., Holland, A. M., Adams, A. S., Mead, B. S., Scarola, G. T., Kercher, K. W., Augenstein, V. A., & Heniford, B. T. (2025). Open versus laparoscopic versus robotic inguinal hernia repair: A propensity-matched outcome analysis. Surgery, 179, 108895. https://doi.org/10.1016/j.surg.2024.08.054
Olsson, A., Sandblom, G., Franneby, U., Sondén, A., Gunnarsson, U., & Dahlstrand, U. (2023). Do postoperative complications correlate to chronic pain following inguinal hernia repair? A prospective cohort study from the Swedish Hernia Register. Hernia, 27(1), 21–29. https://doi.org/10.1007/s10029-021-02545-y
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., … Moher, D. (2021). The PRISMA 2020 statement: An updated guideline for reporting systematic reviews. BMJ, 372. https://doi.org/10.1136/bmj.n71
Raajeshwaren, M. A., Vijayakumar, C., Dutta, S., & Ramakrishnaiah, V. P. N. (2024). Outcomes from early experience with laparoscopic inguinal hernia repair versus open technique: Navigating the learning curve. Sultan Qaboos University Medical Journal, 24(2), 186. https://doi.org/10.18295/squmj.5.2023.037
Reistrup, H., Andresen, K., Öberg, S., & Rosenberg, J. (2024). Higher rate of chronic pain in young men after open mesh vs nonmesh repair of elective primary unilateral indirect inguinal hernia: A nationwide questionnaire study. Current Problems in Surgery, 61(4), 101459. https://doi.org/10.1016/j.cpsurg.2024.101459
Romano, C., Silva, H., Gray, L. A., Ibarra, C., Soto, W., Fernandez, L. G., del Real, J. V., Pinto-Colmenarez, R., Arruarana, V. S., & Fulginiti, D. (2025). Comparative outcomes of synthetic and biological mesh use in laparoscopic inguinal hernia repair: A systematic review and meta-analysis. BMC Surgery, 25(1). https://doi.org/10.1186/s12893-025-03151-w
Sivakumar, J., Chen, Q., Hii, M. W., Cullinan, M., Choi, J., Steven, M., & Crosthwaite, G. (2023). Learning curve of laparoscopic inguinal hernia repair: Systematic review, meta-analysis, and meta-regression. Surgical Endoscopy, 37(4), 2453–2475. https://doi.org/10.1007/s00464-022-09760-3
Sullivan, G. A., Skertich, N. J., Herberg, R., Madonna, M. B., Pillai, S., Shah, A. N., & Gulack, B. C. (2022). Recurrence following laparoscopic repair of bilateral inguinal hernia in children under five. The American Journal of Surgery, 224(3), 1004–1008. https://doi.org/10.1016/j.amjsurg.2022.04.014
Tran, A., Shiraga, S., Abel, S., Samakar, K., & Putnam, L. R. (2024). Trends and predictors of laparoscopic compared with open emergent inguinal hernia repair. Surgery, 176(6), 1661–1667. https://doi.org/10.1016/j.surg.2024.07.040
Wang, C., Wang, Y., Zhong, M., Li, R., & Shen, Z. (2024). Logistic analysis of the recurrence of laparoscopic percutaneous extraperitoneal repair of pediatric inguinal hernia: A report of 486 cases. Asian Journal of Surgery, 47(1), 134–139. https://doi.org/10.1016/j.asjsur.2023.05.013
Zhu, X., Liu, Z., Shen, J., Liu, J., & Tang, R. (2023). Comparison of open and laparoscopic inguinal-hernia repair in octogenarians. Asian Journal of Surgery, 46(2), 738–741. https://doi.org/10.1016/j.asjsur.2022.06.149
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Jurnal Ilmu Kedokteran dan Kesehatan Indonesia
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
