DARNING HERNIOPLASTY VS. MESH HERNIOPLASTY- A NON-RANDOMISED CONTROLLED TRIAL WITH 3 YEARS FOLLOWUP IN A TERTIARY CARE HOSPITAL, RAJAHMUNDRY, ANDHRA PRADESH, INDIA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 86
Abstract
BACKGROUND Inguinal hernias are protrusions of abdominal cavity contents through the inguinal canal. Inguinal hernias are the commonest of all hernias. Surgery is the definitive treatment for hernia. This study aims to compare the results of costly, yet popular Lichtenstein mesh plasty with darning technique for inguinal hernia. MATERIALS AND METHODS Study Design and Setting: A non-randomised controlled trial with 100 patients of inguinal hernia was conducted in a tertiary care hospital, Rajahmundry between May 2010 - May 2013 (3 years). All patients who attended the surgical OPD during May 2010 to May 2013 (3 years) and satisfied the inclusion criteria were included in the study. The patients were randomly allocated/ treated with darn hernioplasty and mesh hernioplasty alternatively. Both the techniques were compared in terms of duration of surgery, cost and postoperative complications. Results were expressed as percentages, mean and standard deviation. Independent t-test was used to analyse the difference among continuous variables. A P value of < 0.05 is considered statistically significant. RESULTS Most of them 44 (44%) were in the age group of 25 to 39 years. Mean age was 36 years with a standard deviation of +/- 2.41. Hernia was seen more commonly among males, 98 (98%). Indirect hernia was more common, 73 (73%). Mean duration for darn repair was 40 minutes compared to 68 minutes for mesh repair. The difference in duration of surgery between two techniques was statistically significant (p < 0.05). The cost for mesh repair is more compared to darn repair. Following darn repair 6 (12%) developed postoperative complications and most common being haematoma 3 (6%), while with mesh repair 7 (14%) had postoperative complications and most common being wound infection 3 (6%). CONCLUSION Darn repair is superior to mesh repair of inguinal hernia in terms of cost effectiveness, duration of surgery with similar postoperative outcome.
Authors and Affiliations
Ganni Bhaskar Rao, Narasimha Rao K. L, Samir Ranjan Nayak, Lavanya K. M, Ashrith P
Keywords
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- EP ID EP277650
- DOI 10.14260/jemds/2017/1294
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