A COMPARATIVE STUDY OF GRID-IRON TECHNIQUE AND LICHTENSTEIN TECHNIQUE IN INGUINAL HERNIA REPAIR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND The advances in groin hernia repair in the century following Bassini have shared the primary goal of reducing long-term hernia recurrence rates. The surgeon must have a comprehensive understanding of the anatomy of the groin to properly select and utilise various options for hernia repair. The aim of our study was to compare the Grid-Iron technique and the Lichtenstein method of open hernia repair in terms of operative time, post-operative pain, post-operative complications, hospital stay, return to normal activity and early recurrence rate. MATERIALS AND METHODS This prospective randomised comparative study period was conducted from August 2015 to July 2017 with a sample size of 60 cases in Kalyani Medical College and included patients who reported to outpatient department. Patients were randomised into two groups, one group underwent repair of inguinal hernia by Grid-Iron technique and the other by Lichtenstein technique. RESULTS Those who underwent Grid-Iron technique of repair had less intensity post-operative pain, shorter duration of hospital stay and returned to work earlier; whereas those who had undergone Lichtenstein repair had less post-operative complications and had no recurrence unlike in other group which had two recurrences. CONCLUSION Lichtenstein repair of inguinal hernia is a time-tested method of treatment of inguinal hernia. It is associated with the lowest rate of recurrence among the various methods of repair. Being tension-free it allows the patient to early return to previous state of activity, whereas Grid-Iron technique is considered a more physiological repair having all the advantages of Minimal Access Surgery like of quicker return to work, less post-operative pain and a better cosmetic result.
Authors and Affiliations
Rasbihari Hembram, Bidyut Kumar Biswas
Keywords
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- EP ID EP279154
- DOI 10.14260/jemds/2017/1412
- Views 88
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