COMPARATIVE STUDY BETWEEN LICHTENSTEIN TENSION-FREE AND MODIFIED BASSINI’S REPAIR FOR INGUINAL HERNIAS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 45
Abstract
BACKGROUND Inguinal hernia repair is the most frequently performed operation in any general surgical unit. Reports on the outcome of inguinal hernia surgery show that recurrence rate in 5 years after operation can vary from 0.1% to over 20%. The aim of the present study is to compare Lichtenstein tension-free hernia repair with the Modified Bassini’s herniorrhaphy in terms of immediate complications like technical difficulty, seroma formation, wound infection rate, recurrence rate at one year and chronic pain. MATERIALS AND METHODS 100 cases admitted to Chigateri General Hospital and Bapuji Hospital, attached to JJM Medical College, Davangere from June 2009 to May 2011 with primary unilateral inguinal hernia were randomly selected using SAS software subjected either to Modified Bassini’s herniorrhaphy or Lichtenstein hernioplasty. All the hernia repairs were performed under spinal anaesthesia. In case, any associated conditions like hypertension, diabetes mellitus were present, treatment was first given for these associated conditions. A note was taken of any technical difficulty during surgery. The patients were followed in the surgical OPD at 1 month, 6 months and 1 year for time taken to return to normal activities, chronic groin pain, patient’s satisfaction and recurrence. RESULTS Technical difficulty was encountered in 4 patients (i.e. 8%) undergoing Modified Bassini’s herniorrhaphy. No technical difficulty was encountered in any of the patients in Lichtenstein group. At 1 month followup, 20 patients (i.e. 40%) of Modified Bassini’s herniorrhaphy group patients had mild pain whereas 14 patients (i.e. 28%) had mild pain in the Lichtenstein group. However, none of the patients in any of the two groups had any degree of pain at 6 months and 1 year. There was one recurrence (i.e. 2%) in Modified Bassini’s herniorrhaphy. However, no recurrence was seen in Lichtenstein group. Time to return to work was relatively shorter in Lichtenstein group. CONCLUSION Lichtenstein is an easy, straightforward technique for inguinal hernia repair with fewer recurrences, less hospital stay and less duration of surgery. However, amongst the pure tissue repairs Modified Bassini’s herniorrhaphy still remains relevant.
Authors and Affiliations
Sudhir Suresh Bhat
Keywords
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- EP ID EP216803
- DOI 10.14260/Jemds/2017/756
- Views 132
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