Open Inguinal Hernia Repair Utilizing a Prolene Mesh (Lichtenstein’s Operation): Study in Tertiary Care Hospital in Bangladesh

Abstract

Background: One of the most common surgeries is inguinal hernia repair. The best procedure for inguinal hernia repair is still debatable. Open Lichtenstein tension-free mesh repair (LMR) is one of the most popular open procedures with good outcome. Objective: To assess the open inguinal hernia repair using a Prolene mesh (Lichtenstein's procedure). Materials and Methods: The observational study was carried out at the Department of General Surgery in Kushtia Medical College Hospital. 60 consecutive adult patients seen in the surgical outpatient department with inguinal hernias were scheduled for elective mesh repair. Patients below 18 years, emergency cases, and immuno-compromised patients were excluded. All patients were informed of the use of the mesh and informed consent was sought and obtained pre-op. Patients were not charged for the mesh and were promised free care in case of recurrence. Results: Hernias were discovered in 31(51.7%) of the patients, 45 (75.0%) of whom had direct hernias, with a mean duration of 2.30.5 years. 28 patients (46.7%) required a hospital stay of 2-4 days. Surgical complications following two groups of patients (3.3%) suffered urinary retention, while 6 (10.0%) patients developed Haematoma. At the 4-week checkpoint, 19(31.7%) of the patients reported sensory loss, 1 (1.7%), seroma, 1 (1.7%), discomfort, and 1 (1.7%), recurrence. Conclusion: In conclusion, the majority of hernia was discovered to be Direct and ASA Grade I. Haematoma and urine retention were discovered as postoperative consequences. Four weeks later, there was sensory loss, seroma, discomfort, and recurrence.