TO EVALUATE CLINICALLY THE OUTCOME OF LICHTENSTEIN REPAIR FOR INGUINAL HERNIA IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 3
Abstract
BACKGROUND The first hernia repair was done by Bassini 100 years ago and all the next surgical methods and their modifications use a suture of the tissues under the tension. Lichtenstein technique challenged the concept of both the plication-darn technique and the Shouldice operation and he introduced a tension free method of hernia repair for inguinal hernia with polypropylene prosthetic mesh and it did not rely upon muscle tendon union. MATERIALS AND METHODS All 54 patients above 18 years belongs to both genders diagnosed to have inguinal hernia were included. All were underwent Lichtenstein’s hernioplasty and different parameters were studied. Patients below 18 years and who came with recurrent inguinal hernia were excluded in this study. RESULTS All the 54 patients who had been operated and monitored were all from low socioeconomic status and only a few had comorbidities and who had to be stabilised before surgery. The operation time and the intersurgeon variation time were noted and the average duration of surgery was calculated. Postoperatively, all the patients were monitored with visual analogue pain scale and checked. Follow up was done for 4 months and patients were enquired for complications and results were noted. In our study Lichtenstein’s hernioplasty surgery that had been done for inguinal hernia, it is found that postoperative complications rate were very much lower except for the high incidence of seroma, which is due to the increased operating time of the surgeons. The limitations of this study was that the follow up time was short compared to other studies. CONCLUSION In our study, haematoma and seroma were the only two postoperative complications, which occurred following Lichtenstein repair for inguinal hernia. In that, incidence of seroma was found to be high.
Authors and Affiliations
Jeyaraman V, Hameed Farooq P
Keywords
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- EP ID EP212936
- DOI 10.18410/jebmh/2017/28
- Views 94
- Downloads 0
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