A COMPARATIVE STUDY IN LAPAROSCOPIC INGUINAL HERNIA REPAIR BETWEEN FIXATION VS NON-FIXATION OF MESH
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2016, Vol 3, Issue 14
Abstract
INTRODUCTION An inguinal hernia is a weakness in the wall of the abdominal cavity that is large enough to allow escape of soft body tissue or internal organ, especially a part of the intestine. It usually appears as a lump and for some peoples can cause pain and discomfort, limit daily activities and the ability to work. If the bowel strangulates or becomes obstructed it can be lifethreatening. A hernia is repaired generally using a synthetic mesh either with open surgery or increasingly using less invasive laparoscopic procedures. AIMS AND OBJECTIVES To compare and evaluate Laparoscopic hernia repair (trans-abdominal pre-peritoneal and total extra peritoneal repair (TAPP & TEP) using Prolene mesh with or without fixation. MATERIAL AND METHODS Our study was conducted in dept. of surgery, Government Medical College and associated Dr. Susheela Tiwari Hospital. A total sample of 100 patients who underwent inguinal hernia repair as an elective surgery. 50 of whom underwent fixation of mesh (fixation will be done either by tacker or suture). Rest 5o underwent non fixation of mesh. RESULTS In our study Statistically there was non-significant heterogeneity in operating time (p = 0.15), post-operative pain (p = 0.45), post-operative complications (p = 0.55) and length of hospital stay (p = 0.11) were statistically comparable between two techniques of mesh fixation in LIHR. The risk of developing chronic groin pain (p = 0.67) and risk of hernia recurrence (p = 0.77) was also similar. CONCLUSION NMF in LIHR does not increase the risk of hernia recurrence. It is comparable with TMF in terms of operation time, postoperative pain, post-operative complications, length of hospital stay and chronic groin pain. Therefore, based upon the results of our study NMF approach may be adopted routinely and safely in LIHR.
Authors and Affiliations
Ayush Srivastava, Rajeev Singh, Lakshman Singh Pal
Keywords
Related Articles
- EP ID EP232697
- DOI 10.18410/jebmh/2016/112
- Views 102
- Downloads 0
EFFECTIVENESS OF SCHEDULED AMBULATION ON EARLY POSTOPERATIVE OUTCOME AMONG PATIENTS WHO HAVE UNDERGONE ABDOMINAL HYSTERECTOMY
BACKGROUND Abdominal hysterectomy is one of the most frequently performed surgical procedures in women. The non-ambulatory postoperative period is a high risk period for the development of various complications like woun...
MORPHOLOGICAL OUTCOME OF PRIMARY LIP REPAIR IN PATIENTS WITH UNILATERAL CLEFT LIP-PALATE WITH THE USE OF INFERIOR TURBINATE FLAP
BACKGROUND: Cleft lip and palate deformity poses problems at every stage of growth and development of the child. Repair of cleft lip-nose complex is a major challenge for the operating surgeon as well the manner in which...
TACROLIMUS OINTMENT FOR TREATMENT OF VKC
BACKGROUND Vernal Keratoconjunctivitis (VKC) is a bilateral recurrent chronic allergy inflammatory disorder of ocular surface, which is seasonally exacerbated mostly involving tarsal and bulbar conjunctiva in chronic and...
A PROSPECTIVE, COMPARATIVE STUDY OF EFFECT OF BUPIVACAINE-FENTANYL AND BUPIVACAINE-TRAMADOL IN PATIENT UNDERGOING LOWER ABDOMINAL SURGERY IN SPINAL ANAESTHESIA
BACKGROUND Various local anaesthetic agents are used with good pharmacokinetic profile. Bupivacaine is a potent amide local anaesthetic producing prolonged anaesthesia along with that it produces more sensory than motor...
CHARACTERIZATION OF MENISCAL TEAR MORPHOLOGY ON RECONSTRUCTED MR AXIAL IMAGES AND CORRELATION WITH ARTHROSCOPY
BACKGROUND MRI is a highly accurate imaging modality for diagnosing meniscal tears. Pre-operatively, surgeons need information not only on the presence of the meniscal tears but also on their morphological characteristic...