Comparison of Lichtenstein repair and new mesh implant technique in the treatment of indirect inguinal hernia

Siamak Mousazadeh,Iraj Feizi,Khatereh Isazadeh

doi:10.34172/jept.2020.33

Abstract

Objective: Inguinal hernia surgery is one of the most commonly used surgical procedures in the world. The aim of this study was to compare the recurrence and postoperative complications between a new mesh implant technique in the floor of the inguinal canal with limited tissue repair on it and Liechtenstein technique for inguinal hernia repair.Methods: In this cross-sectional study, patients were studied by Liechtenstein technique and a new technique of insertion of mesh at the foam of the inguinal canal with a limited tissue repair on it. Data were collected by interview and we assessed the recurrence rate, urinary retention and post-operative pain. Data were analyzed using SPSS software version 24. Chi-square test and t test were used for quantitative data and P value less than 0.05 was considered significant.Results: The mean age of patients was 49.28 ± 15.84. The mean age and sex ratio between the two groups were similar. Recurrence was seen in 11 (1.83%) of all patients and the difference between the two groups was not significant. Of all patients, 28 (4.7%) had urinary retention after surgery and the difference between the two groups was significant (p=0.01). Of all patients, 91 (15.2%) had pain after three weeks and 29 (4.8%) had pain after six months.Conclusion: The results showed that the new method had less complications concerning post-operative pain and urinary retention in comparison with the Liechtenstein method as an acceptable method for inguinal hernia repair in future.

Highlights

Hernia is one of the most common diseases during the practice of a surgeon
The aim of this study was to comparison of Lichtenstein Repair and new mesh implant technique in the Treatment of Indirect Inguinal Hernia. This descriptive cross-sectional study was performed on 600 patients undergoing inguinal hernia repair in Ardabil hospitals
The Liechtenstein technique used in these patients was the standard procedure with a non-absorbable mesh that fixed on the floor of the inguinal canal that done by three expert surgeon but with similar technique and similarity in type of mesh and fixation sutures

Summary

Introduction

The most common type of it is right inguinal hernia [1]. Inguinal hernia is referred to the abdominal viscera ejection, especially the small intestine to the inguinal canal, which occurs more than 90% in men and 10% in women. It is most prevalent in men before the age of one and after the age of forty [2,3]. The predisposing factors for inguinal hernias are not completely clear and a number of hypothetical causes include chronic cough, congenital lung disease, congenital constipation, benign prostatic enlargement, family history of hernia, collagen vascular disease, pre-cutaneous collagen disease, previous Right Lower Quadrant (RLQ) incision, heavy load lifting, and physical activity is involved in the development of hernia [4,5]. Common symptoms of a hernia include a bulging of the groin or scrotum that may occur suddenly or over a few days, weeks or months, and discomfort in the groin or scrotum that may aggravate the pain during sitting and getting up (but most hernias are generally painless)

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Conclusion