COMPARISON STUDY BETWEEN OPEN TRANSINGUINAL PREPERITONEAL HERNIA REPAIR AND LICHENSTEIN’S HERNIA REPAIR
Journal Title: Stanley Medical Journal - Year 2016, Vol 3, Issue 3
Abstract
Context: The transinguinal pre peritoneal mesh repair is an amazing simplistic technique which gives an approach to inguinal, femoral and obturator hernias and bears the same anatomical relationship in TEP and TAPP approaches which gives a better understanding of the TEP and TAPP procedures. Aims: The objective of the study is to compare the outcomes of Lichenstein and Transinguinal preperitoneal mesh repair for inguinal hernia. Settings and Design: About 25 cases of transinguinal pre peritoneal mesh repair was done in the period 2014 to 2015 at Govt. medical college hospital and compared with 25 cases of Lichenstein repair. Methods and Material: Cases were selected at random irrespective of the type of inguinal hernia, the age of the patient and the size of the defect.the material used for repair is monofilament polypropylene clear non absorbable synthetic knitted surgical mesh. Statistical analysis used: The comparisons were done in terms of postoperative pain, length of operation, early and late complications, recurrence rates and time required to return to work. Operation length was 49.16 + 8.74min in the Lichenstein group and 82.36 + 8.34min in the TIPP group. Visual analog scales at day 1 were 2.44 + 1.44 for Lichenstein group and 0.8 + 1.08 for TIPP group, whereas visual analog scale values at day 7 were for 0.96 +1.42 Lichenstein group and 0.32 + 0.55 for TIPP group. Results: In our experience, the repair of groin hernias with Preperitoneal mesh (Prolene mesh through an inguinal incision) has resulted in greater patient comfort with reduced post operative pain and also decreased number of complications. There was no recurrence observed in my study during the follow up period of 3 months. The duration of stay in the hospital was reduced and the patients had a rapid return to work. Conclusions: It is an easy technique with short learning curve. The contact of mesh with the cord structures and nerve is minimal which reduces the postoperative cord oedema, pain (Inguinodynia), orchitis and sensory loss.
Authors and Affiliations
Mathusoothanan P, Pauliadevi T
Keywords
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