INTRODUCTION: Hernia repair is one of the most commonly performed operations by competent general surgeons. Last two decades have witnessed huge growth in minimally invasive laparoscopic hernia repair. Most of the publications in the last two decades have been dominated by lap hernia repair. This study and presentation of over 15 years is to analyse and prove that minimal invasive is equally effective in all 1,2prospects compared to lap . With laparoscopic hernia repair, you may return to work sooner, have less after surgery, and have a shorter pain hospital stay and a shorter recovery time. Surgery to remove the gallbladder with a laparoscope does not require that the 3,4muscles of your abdomen be cut, as they are in open surgery . The incision is much smaller, which makes recovery go quicker. With laparoscopic hernia repair, you probably will only have to stay in the hospital for a few hours or overnight. With open hernia repair, you would have to stay in the hospital for about ve days. Because the incisions are smaller with laparoscopic hernia repair, there isn't as much after this pain operation as after open hernia repair. Minimal invasive open hernia repair is a very safe procedure which can be conducted in small cities and towns where the Patients are poor and no laproscoic instruments in Govt hospitals and majority of private hospitals as we have seen in this large series which is conducted across many small cities and towns procedure is very safe with no mortality and with a very few complications. The procedure does not require any special instruments, patients will have very less post-operative pain, very less 5hospital stay and go back to work early . AIMS AND OBJECTIVES: To study the minimal invasive open hernia vs lap hernia repair. MATERIALS AND METHODS This study was done in the Department of Surgery, Kanachur Institute of Medical Sciences, Mangalore. Sixty cases that was admitted to the Department were studied in detail and an attempt has been made to report promptly. Exclusion Criteria: 1.Differently abled who met with accidents. Inclusion Criteria: 1.All the patients were 20-60 years. This was done to understand the patterns especially in the working group. RESULTS: Results: Table 1: Age Distribution Graph 1: Sex Distribution Graph 2: Types of Hernias Graph 3: Parts Injured Table 2: Success Rate DISCUSSION: This surgery is very simple to perform but has to be performed with at most care, with a very good Anaesthesia followed up with good post-operative care. The total numbers of patients with complications are low. Total complication proportions in the Lap vs. Invasive comparison are 24.3% and 21.2% respectively including intra-operative static calculations, 6,7which are generally not considered a complication . Excluding perforations decreases total complication proportions to 15.6% and 16.4% respectively. These percentages are still higher than gures (up to 5%) known from other reviews including non-randomized series. Such A STUDY OF MINIMAL INVASIVE OPEN HERNIA REPAIR VS LAP HERNIA REPAIR Original Research Paper Sandeep K K Associate Professor, Department Of Surgery, Kanachur Institute Of Medical Sciences, Mangalore. * Corresponding Author General Surgery Most of the publications in the last few years have been dominated by laparoscopic hernia repair. This study and presentation of over 5 years is to analyse and prove that invasive hernia repair is equally effective in all prospects compared to its counterpart. ABSTRACT KEYWORDS : Invasive Hernia Repair, Laparoscopic Hernia Repair. VOLUME-8, ISSUE-10, OCTOBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra Number Mean age Std Deviation 60 48.71 years 13.38 years 92 X GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS 8studies represent lower levels of evidence . One has to assume that especially interested and skilled surgeons conducted the trials and carried out the interventions. Everyday clinical practice and complication rates ought to be followed through clinical databases and compared with benchmark values. The situation in the real world may therefore even be worse. The complication proportions in the other two comparisons are substantially lower compared with the proportions in the Lap vs . SI comparison. Probably, d i f ferences in methodological quality of the trials play a role. As results from low-bias risk trials are considered more reliable, we believe that the proportions in the Lap vs. SI comparison are closer to the truth. CONCLUSION This is an excellent alternative to laparoscopic hernia repair . REFERENCES: 1. French Associations for Surgical Research, Oberlin P, Boudet MJ, et al. Recurrence after inguinal hernia repair: prognostic facts in a prospective study of 1706 hernias. Br J Surg 1995;82:Suppl 1:65-65 abstract. 2. Friis E, Lindahl F. The tension-free hernioplasty in a randomized trial. Am J Surg 1996;172:315-319 3. Sondenaa K, Nesvik I, Breivik K, Korner H. Long-term follow-up of 1059 consecutive primary and recurrent inguinal hernias in a teaching hospital. Eur J Surg 2001;167:125-129 4. The MRC Laparoscopic Groin Hernia Trial Group. Laparoscopic versus open repair of groin hernia: a randomised comparison. Lancet 1999;354:185-190 5. McCormack K, Scott NW, Go PM, Ross S, Grant AM. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 2003;1:CD001785-CD001785 6. Fitzgibbons RJ Jr, Camps J, Cornet DA, et al. Laparoscopic inguinal herniorrhaphy: results of a multicenter trial. Ann Surg 1995;221:3-13 7. Neumayer L, Jonasson O, Fitzgibbons R, et al. Tension-free inguinal hernia repair: the design of a trial to compare open and laparoscopic surgical techniques. J Am Coll Surg 2003;196:743-752 8. Wright D, O'Dwyer PJ. The learning curve for laparoscopic hernia repair. Semin Laparosc Surg 1998;5:227-232 VOLUME-8, ISSUE-10, OCTOBER-2019 • PRINT ISSN No. 2277 - 8160 • DOI : 10.36106/gjra X 93GJRA - GLOBAL JOURNAL FOR RESEARCH ANALYSIS