Abstract
Background & Objective:The inguinal hernia accounts for 50 percent in old age males. A Lichtenstein type of operation has now become the method of choice in most developed countries but in the developing world traditional simple suture repair is still in common practice in resource limited hospitals due to the scarcity and expensive nature of the commercial prosthetic mesh. Our objective was to compare the rates of complications in Lichtenstein repair to tension free Darn repair.Methods:Ninety two male patients from 20-60 years of age reported for direct or indirect inguinal hernia with open Mesh/Lichtenstein or darn repair in emergency or electively from January 2014 to December 2015 were enrolled in this prospective randomized control trial (RCT). The primary end point was to compare the surgical site infection, length of hospital stay and hernia recurrence with different techniques.Results:The hospital stay was higher in patients who had Lichtenstein repair, Superficial surgical site infections in cohort A (6.5%) and cohort B (4.36%)were noted. Complications of recurrence in Group-A were (1.5%) as compared to Group-B which had a recurrence of 6.52%.Conclusion:Lichtenstein is more promising in comparison to Darn repair in terms of recurrence in inguinal hernia.
Highlights
Among acquired or congenital hernias, inguinal remains to be most common, with prevalence of 25% and 2% in males and females respectively.[1]
We looked at the surgical site infections, length of hospital stay, time taken to return to normal routine and recurrence of hernia
Ninety two male patients between the age of 20-60 years who reported for direct or indirect inguinal hernia repair with open herniotomy and hernioplasty or herninorrhaphy (Mesh repair (Lichtenstein) or darn repair) in emergency or electively from January 2014 to December 2015 were enrolled in this prospective randomized control trial (RCT)
Summary
Among acquired or congenital hernias, inguinal remains to be most common, with prevalence of 25% and 2% in males and females respectively.[1]. Lichtenstein, in 1987, introduced mesh prosthesis to bridge the hernia but not close it with sutures like the Bassini and other procedures. This ostensibly results in a less painful operation and a reduced incidence of suture pulling out, which results in lower recurrence rate.[6,7]. Methods: Ninety two male patients from 20-60 years of age reported for direct or indirect inguinal hernia with open Mesh/Lichtenstein or darn repair in emergency or electively from January 2014 to December 2015 were enrolled in this prospective randomized control trial (RCT). The primary end point was to compare the surgical site infection, length of hospital stay and hernia recurrence with different techniques. Conclusion: Lichtenstein is more promising in comparison to Darn repair in terms of recurrence in inguinal hernia
Sign-in/Register to view highlights & summary 
Published Version (
Free)
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call