Comparative study between tension-free mesh repair using Lichtenstein technique and Bassini technique to treat incarcerated inguinal hernia

Abstract

Objective The aim of this study was to assess and compare the outcome of mesh repair using Lichtenstein technique with tissue repair using Bassini technique in the treatment of incarcerated inguinal hernia. Background Placement of mesh in incarcerated hernia is presumed to increase the risk for infection. Tension-free repairs have gained popularity not only for primary or recurrent hernias but also for complicated inguinal hernia. Patients and methods Sixty patients with incarcerated inguinal hernia were enrolled. Patients were divided into two groups: group I, which underwent Lichtenstein hernioplasty, and group II, which underwent Bassini herniorraphy. Patients with recurrent or strangulated hernia were excluded from study. After preoperative assessment, all patients underwent herniotomy. In group I, a mesh was trimmed to fit the floor of the inguinal canal. In group II, the repair of the inguinal canal was performed upon two planes. Postoperatively, assessment of the hospital stay, surgical complications, and recurrence of hernia was carried out. Results No significant difference was found between groups as regards age, prevalence of smoking, the side, type, and duration of hernia, duration of irreducibility, clinical picture of hernia, usage of truss, method of anesthesia, content of hernia, and presence of postoperative complications. The operative time and the length of hospital stay were statistically significant between groups. Conclusion Mesh repair is applicable in patients with incarcerated inguinal hernias with low morbidity rate. Significantly higher rates for mean length of hospital stay and mean length of operation and a higher rate for postoperative chronic pain were found in incarcerated inguinal hernia patients with Bassini repair.