فهرست نشریات علمی دسترسی آزاد ایران

Introduction: Pediatric inguinal hernia is commonly treated through surgical intervention. Minimally invasive techniques, such as laparoscopic inguinal herniotomy (LIH), are gaining popularity. However, the single incision bilateral open herniotomy (SIBOH) offers an alternative with smaller single incision and potentially similar outcomes. This study compares the safety, efficacy, operative time, and cosmetic outcomes of SIBOH and LIH. Materials and Methods: A prospective randomized study was conducted involving pediatric patients with bilateral inguinal hernia. Patients were allocated into two groups: Group A underwent SIBOH and Group B underwent LIH. Primary outcomes included operative time, complications, recurrence rate, postoperative pain, and cosmetic satisfaction.   Results:  SIBOH demonstrated a significantly shorter operative time (32.4±5.8 minutes) as compared to LIH group (47.9±7.3 minutes) (p<0.001). Complication and recurrence rates were comparable between both groups. Hospital stay was shorter in SIBOH group as compared to laparoscopic group (p< 0.05). Parents reported comparable cosmetic outcomes in both the groups, but differences were not statistically significant. Postoperative pain was similar in both groups.    Conclusion:     SIBOH is an effective and safe alternative to LIH for bilateral inguinal hernia in children. It offers shorter operative times with similar outcomes, making it a viable technique where laparoscopic resources are limited.