scholarly journals A comparative study of Stoppa’s repair versus Lichtenstein technique for surgical management of bilateral inguinal hernia

2021 ◽  
Vol 8 (11) ◽  
pp. 3307
Author(s):  
Kiran Patel
Keyword(s):  
Inguinal Hernia ◽  
Surgical Management ◽  
Intraoperative Complications ◽  
Bilateral Inguinal Hernia ◽  
Local Skin ◽  
Tension Free ◽  
Inguinal Hernias ◽  
Significant Difference ◽  
Group 2 ◽  
Mesh Hernioplasty

Background: The surgical management of bilateral inguinal hernias has been a point of contention for a long time, particularly in terms of whether to repair them sequentially or simultaneously, especially following tension-free surgeries. The present study was planned to compare the outcomes of bilateral inguinal hernia repair between patients who underwent the Stoppa’s repair and those who underwent Lichtenstein tension free mesh hernioplasty repair.Methods: The study included all patients of both genders with age of 18 years with bilateral inguinal hernias. Patients with following any condition-a complicated inguinal hernia; an obstructed or strangulated inguinal hernia; a recurrent inguinal hernia; previous abdominal surgery; a local skin infection-were excluded from the study. Patients were randomised into 2 groups based on simple randomization-group 1: patients underwent Lichtenstein tension free mesh hernioplasty; and group 2: patient underwent Stoppa's repair.Results: The operative time was significantly shorter in group 2 patients as compared to group A. In both groups, there were no intraoperative complications. Group 2 patients had significantly lower postoperative pain scores measured by the visual analogue scale at 12 hours postoperatively, but there was no statistically significant difference in pain at 24 hours or 7 days postoperatively. Post-operative hospital stays, return to normal daily activities, and chronic groin pain, there was no statistically significant difference between the two groups.Conclusions: The present study was unable to show that either technique was superior in the treatment of bilateral inguinal hernias. Both procedures, on the other hand, were capable of achieving favourable postoperative outcomes and had similar problems.

A Comparison of Outcomes between Lichtenstein and Laparoscopic Transabdominal Preperitoneal Hernioplasty for Recurrent Inguinal Hernia

2018 ◽  
Vol 84 (11) ◽  
pp. 1774-1780 ◽  
Author(s):  
Bin Yang ◽  
Shengning Zhou ◽  
Yingru Li ◽  
Jianan Tan ◽  
Shuang Chen ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Intraoperative Complications ◽  
Incidence Rates ◽  
Laparoscopic Technique ◽  
Recurrent Inguinal Hernia ◽  
Complication Rates ◽  
Transabdominal Preperitoneal ◽  
Inguinal Hernias ◽  
Significant Difference

There remain concerns about the optimal technique for repairing recurrent inguinal hernias because of the high risks of complications and recurrence. The aim of this study was to compare Lichtenstein hernioplasty with the transabdominal preperitoneal (TAPP) laparoscopic technique in the treatment of recurrent inguinal hernias. One hundred twenty-two patients who underwent surgery for recurrent inguinal hernia were prospectively randomized to receive either Lichtenstein (n = 63) or TAPP (n = 59) hernioplasty between January 2010 and December 2014. Baseline characteristics, intraoperative complications, and short- and long-term postoperative factors were evaluated. Preoperative factors were comparable between the two groups. The average follow-up period was 46.2 ± 8.5 months. The two groups had similar intraoperative and short-term postoperative complication rates, whereas the rate of long-term postoperative complications was lower for the TAPP group than the Lichtenstein group (6.8% vs 23.8%, respectively, P = 0.012). The TAPP group had significantly lower visual analogue scale scores, fewer analgesics consumption, and faster recovery than the Lichtenstein group ( P < 0.05). Chronic pain was more prevalent in the Lichtenstein group than the TAPP group (15.9% vs 3.4%, respectively, P = 0.031). The recurrence rate was 4.8 per cent for the Lichtenstein group and 1.7 per cent for the TAPP group, with no significant difference ( P = 0.62). Both the Lichtenstein and TAPP procedures are safe and effective methods for repairing recurrent inguinal hernia with low incidence rates of life-threatening complications and recurrence. The TAPP procedure is superior to the Lichtenstein repair in terms of reduced postoperative pain, shorter sick leave, faster recovery, and better cosmetic results. Careful selection of the surgical procedures and implementation of technical essentials are necessary.

scholarly journals Effect of Varicocelectomy on the Frequency of Nocturnal Sperm Emissions

2015 ◽  
Vol 10 (3) ◽  
pp. 250-253
Author(s):  
Cengiz Kara ◽  
Ozgu Aydogdu ◽  
Ural Oguz ◽  
Mehmet Giray Sönmez
Keyword(s):  
Inguinal Hernia ◽  
Depression Score ◽  
Control Group ◽  
Hormone Levels ◽  
Significant Difference ◽  
Younger Men ◽  
Serum Hormone ◽  
Postoperative Serum ◽  
Group 2 ◽  
Group 1

The aim of this study was to investigate the frequency of nocturnal sperm emissions (NSE) in varicocele patients after varicocele surgery. A total of 127 patients, 96 varicocele (Group 1) and 31 patients with inguinal hernia (Group 2) were included in this study. Mean age, laterality of surgical procedures, spermiogram results, marital status, and postoperative serum hormone levels were noted for all patients. Two groups were compared in terms of Beck depression score (BDS) and anxiety scores (AS). The frequency of NSE and libido changes in the patients during 10 days postoperatively was evaluated. The number of the patients who had NSE and increased libido were significantly higher in the varicocelectomy group when compared with the control group. No significant difference was noted between the groups in terms of BDS, AS, and serum hormone levels. No association was reported between BDS, AS, and serum hormone levels and the presence of NSE in Group 1. The incidence of NSE was higher in younger men. Increased libido was significantly associated with NSE in Group 1. Cord dissection during surgery may be a factor on increased frequency of NSEs in varicocele patients.

scholarly journals A CASE OF GIANT INGUINO- SCROTAL HERNIA

2020 ◽  
pp. 1-2
Author(s):  
Neel B. Patel ◽  
Hitendra K. Desai ◽  
Purvesh V. Doshi ◽  
Bansil V. Javia
Keyword(s):  
At Risk ◽  
Inguinal Hernia ◽  
Surgical Management ◽  
Bowel Obstruction ◽  
Abdominal Cavity ◽  
Standing Position ◽  
Hernia Sac ◽  
Scrotal Hernia ◽  
Inguinal Area ◽  
Inguinal Hernias

• An inguinal hernia is a protrusion of the contents of the abdominal cavity or peritoneal fat through a defect in the inguinal area. • The hernia sac contents are at risk of incarceration, which may lead to more serious sequelae such as bowel obstruction, and or a circulatory strangulation of the hernia contents, leading to necrosis and possible perforation of the intestine . The chance of incarceration is relatively low, between 0.3-3% per year . • GAINT INGUINAL HERNIA IS MORE UNUSUAL (APPROX 0.5% OF INGUINAL HERNIAS) AND SIGNIFICANTLY CHALLENGING IN TERMS OF SURGICAL MANAGEMENT. • IT IS DEFINED AS AN INGUINAL HERNIA THAT EXTENDS BELOW THE MIDPOINT OF INNER THIGH WHEN PATIENT IS IN STANDING POSITION.

scholarly journals COMPLICATED INGUINAL HERNIAS;

2019 ◽  
Vol 26 (03) ◽  
Author(s):  
Naveed Akhtar ◽  
Syed Shams- Ul-Hassan ◽  
Muhammad Sabir ◽  
M. Nauman Ashraf
Keyword(s):  
Inguinal Hernia ◽  
Hospital Stay ◽  
Wound Infection ◽  
P Value ◽  
Emergency Setting ◽  
Complication Rates ◽  
Success Rates ◽  
Inguinal Hernias ◽  
Significant Difference ◽  
The Mean

Background: Herniorrhaphy and hernioplasty are the two most common modalities used with different degree of success and complication rates in the treatment of inguinal hernia. Several studies show that use of mesh is superior to the non-mesh operations in inguinal hernia surgery.It is generally believed that the use of biomaterials should be limited to non-infected surgical fields.Now the concept regarding use of mesh in complicated hernias is changing as shown by many studies. Current study is being planned to observe the outcomes of the mesh hernioplasty in treatment of complicated inguinal hernias in emergency so that in future appropriate and safe technique may be suggested for repair of complicated hernias in emergency setting. Objectives: To compare the outcome of hernioplasty and herniorrhaphy in emergency for the treatment of complicated (Irreducible/obstructed) inguinal hernias regarding wound infection and hospital stay. Material & Methods:… Study Design: Randomized control trial. Setting: Surgical ward, Sheikh Zayed Hospital, Rahim yar khan. Period:09 months from 01-01-2016 to 30-09-2016. Sample Size: A total of 64 patients with 32 patients were included in each group, with confidence level of 95% and power of 80% and anticipated mean level of hospital stay in group 1 of 5±3.4 days versus 3±2.1 days in group 2. Sampling Technique: Non-probability, consecutive sampling. Results: In this study there were total 64 cases with 32 in each group. The mean age was 41.69±11.06 years and the mean duration of hernia obstruction was 12.83±4.97 hours. There was no significant difference in terms of age, duration of hernia and hernial obstruction between both groups. Seroma was seen in 5 (7.81%) out of 64 cases while wound infection was seen in 8 (12.50%) of cases. Seroma was seen in 2 (6.25%) out of 30 cases in herniorrhaphy as compared to 3 (9.38%) out of 32 cases with hernioplasty with p value of 0.64. Wound infection was seen in equally 4 (12.50%) out of 32 cases in both groups with p value of 1.0. Duration of hospital stay was 4.66±1.36 in patients with herniorrhaphy as compared to 4.53±1.37 days with hernioplasty with p value= 0.82. There was no significant difference in terms of age groups, duration of hernia and its obstruction between both groups regarding seroma. There was also no significant association among any of the confounding factors regarding the wound infection and length of the hospital stay between the both groups. Conclusion: We can perform hernioplasty as compared to herniorrhaphy for complicated inguinal hernia with similar complications and better success rates in the same emergency setting.

scholarly journals Prolene Hernia System Herniorraphy Versus Open Inguinal Hernia Repair by Lichtenstein Tension Free Mesh Hernioplasty -A Randomized Study

2020 ◽  
Vol 5 (8) ◽  
pp. 729-733
Author(s):  
Dr. Kunal Malhotra ◽  
Dr. Tushar Aggarwal ◽  
Dr. Subhash Sharma ◽  
Dr. Anil Malhotra
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Operative Time ◽  
Randomized Study ◽  
Tension Free ◽  
Prolene Hernia System ◽  
Operative Complications ◽  
Open Inguinal Hernia Repair ◽  
Mesh Hernioplasty

Prolene Hernia System is a tension free anterior inguinal hernia repair using a bilayered modification of inguinal hernia mesh. Inguinal hernia repair by Prolene is comparable with almost equal operating time, smaller incision and with a trend towards decreased complications rate and reduced rate of recurrences. This study was conducted to study and to compare the results of Prolene Hernia System and Lichtenstein Tension Free mesh hernioplasty with respect to its operative time, post-operative pain, intra/post-operative complications and total hospital stay. The effectiveness of PHS were compared to Lichtenstein tension free mesh hernias repair in patients presenting with uncomplicated Inguinal Hernia for elective surgery in the Surgery department of IGMC, Shimla. Duration of surgery was shorter in Prolene Hernia System group (p=0.04) than the Lichtenstein tension free mesh hernioplasty [32 vs 34 minutes], The mean pain intensity in present study was 2.9 in Lichtenstein tension free mesh hernioplasty group and 2.7 in Prolene Hernia System, No intra-operative complications were seen with either of the two groups. Post-operative complications in the form of Seroma formation were more in Lichtenstein tension free mesh hernioplasty group than Prolene Hernia System group (8 vs 0). There were two cases of recurrence in the Lichtenstein tension free mesh hernioplasty group, while no short-term recurrence was seen in Prolene Hernia System group over 12 weeks. Mean duration of post-operative hospital stay was 1.57 days for Lichtenstein tension free mesh hernioplasty group and 1.33 days for Prolene Hernia System group. This study concludes that even though the difference between the two methods in this randomized study were small, the Prolene Hernia System repair method for open inguinal hernia repair was associated with a shorter operative time, lower rate of recurrence, as well as fewer complications when compared with the Lichtenstein tension free mesh hernioplasty. Further prospective studies are needed to rigorously evaluate the comparative advantages of Prolene Hernia System repair in relation to other repair methods

Efficacy of the tension-free Lichtenstein mesh hernioplasty in the successful management of inguinal hernias in Saudi Arabian athletes

2021 ◽  
Vol 21 (3) ◽  
pp. 81
Author(s):  
BaderHamza Shirah ◽  
HamzaAsaad Shirah ◽  
IbraheemAbdulaziz Zabeery ◽  
OsamaAbdulqader Sogair ◽  
AhmedMedawi Alahmari
Keyword(s):  
Saudi Arabian ◽  
Successful Management ◽  
Tension Free ◽  
Inguinal Hernias ◽  
Mesh Hernioplasty

scholarly journals A randomised controlled trial of excision versus invagination in the management of indirect inguinal hernial sac

2019 ◽  
Vol 101 (2) ◽  
pp. 119-122
Author(s):  
M Sharma ◽  
OP Pathania ◽  
A Kapur ◽  
S Thomas ◽  
A Kumar
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Testicular Atrophy ◽  
High Ligation ◽  
Indirect Inguinal Hernia ◽  
Tension Free ◽  
Hernial Sac ◽  
Significant Difference ◽  
Group A ◽  
Group B

Introduction Lichtenstein tension-free mesh hernioplasty of primary inguinal hernia is currently considered as the preferred method for the plastic reconstruction of inguinal hernia by the majority of surgeons. Several studies have examined the best way to manage the hernial sac in this surgery, but no consensus has been reached. This study was designed to compare the effects of excision of sac and invagination of sac on post-operative outcomes. Methods and methods This prospective randomised study included a total of 70 patients with primary unilateral uncomplicated indirect inguinal hernia. Group A (35 patients) underwent high dissection and invagination of the hernial sac and group B (35 patients) underwent high ligation and excision of the hernial sac. The repair of the posterior wall of the inguinal canal was done according to Lichtenstein tension-free technique. The primary outcome of this study was postoperative pain and secondary outcomes were wound infection, chronic sepsis, sinus formation, persistent pain, testicular atrophy and recurrence during the one-year follow-up period. Results There was a significant difference (P < 0.01) in pain experienced by the patients in the immediate post-operative period between the two groups; group A experienced less postoperative pain than group B. There was no significant difference in incidence of infection between the groups. Conclusions Invagination of the sac results in less postoperative pain compared with excision, with no significant difference in other postoperative outcomes.

scholarly journals Endoscopic Techniques in the Treatment of Inguinal Hernias

2020 ◽  
Vol 13 (2) ◽  
pp. 138-145
Author(s):  
Wadim Trukhalev ◽  
Alexander Vlasov ◽  
Аleksandra Kalinina ◽  
Elena Krivenkova
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Safe Procedure ◽  
Recurrence Rates ◽  
Tension Free ◽  
Inguinal Hernias ◽  
Total Extraperitoneal ◽  
Endoscopic Methods

The review is devoted to the treatment methods of inguinal hernia. Inguinal hernia repair is one of the most common operations in the world and is performed on more than 20 million patients per year. Recurrence rates of inguinal hernias after different types of surgical interventions range from 10 to 15%. The use of synthetic materials reduced the rates of hernia recurrence on average to 1-5%. Currently there are traditional tissue-based techniques, open tension-free mesh hernia repair, and laparoscopic mesh hernioplasty. Nowadays tension-free repair with synthetic mesh is a technique of choice for inguinal hernia repair. The emphasis has been placed on endoscopic methods of inguinal hernia prosthetic repair. According to the literature, laparoscopic repair is associated with low rates of wound infection and fewer haematomas, which leads to early resumption of everyday activities compared with Lichtenstein hernia repair. The paper discusses two standardized endoscopic methods for inguinal hernia treatment, namely laparoscopic transabdominal preperitoneal patch (TAPP) and total extraperitoneal (TEP) repair. Analysis of the literature has shown that criteria of necessity and method of mesh fixation during TAPP procedure were not completely identified. However, a number of researches have demonstrated that TAPP technique without mesh fixation proved to be a safe procedure which can be used in most patients with unilateral and bilateral inguinal hernia showing no increase in postoperative complications and low recurrence rates.

scholarly journals The use of prosthetic mesh in adult inguinal hernia repair

2019 ◽  
Vol 6 (5) ◽  
pp. 1745
Author(s):  
Laith Qauis Majeed ◽  
Mohammed Hillu Surriah ◽  
Amine Mohammed Bakkour ◽  
Ayaad Makki Saaid
Keyword(s):  
Inguinal Hernia ◽  
Groin Hernia ◽  
Abdominal Cavity ◽  
Age Groups ◽  
Abdominal Wall Hernia ◽  
Prosthetic Mesh ◽  
Age Group ◽  
Tension Free ◽  
Inguinal Hernias ◽  
Mesh Technique

Background: An abdominal wall hernia is a protrusion of a viscus or part of a viscus through an abnormal opening in the wall of the abdominal cavity. Different approaches have been described in regards to management and repair of hernia. The present study aims at showing the rate of frequency to use the prosthetic mesh versus classical repair in adult inguinal hernia.Methods: A retrospective study lasted from October 2014 to July 2018 in Al-Karama Teaching Hospital. The study Samples consist of 315 patients with inguinal hernia, the age group (20-70) years old they were diagnosed according to clinical examination. There are 76 patients operated on using mesh technique (tension free).Results: All patients in our series were male, with age group (20-70) years. However, the inguinal hernia more frequent with increase age. In age groups; (40-49) was 25 patients (32.89%). The indirect inguinal hernias are most common in the young 65% whereas direct hernias are most common in the old. In our series sixty-one (80.26%) patients with indirect inguinal hernias, eleven (11.82%) patients with direct hernias and six (5.263%) patients with pantaloon type.Conclusions: The frequent uses of mesh in inguinal hernioplasty increasing with age. Tension –free hernioplasty is technically simple surgical operation, which can be used to repair any groin hernia. The use of mesh patch with or without plug is technically easier to work than the classical methods and far simple to secure to surrounding tissues.

scholarly journals Post-operative complications and pain comparison between modified Bassini’s repair and Lichtestein’s hernioplasty in inguinal hernia repair

2021 ◽  
Vol 8 (2) ◽  
pp. 579
Author(s):  
Sunil Kumar ◽  
Sreenivasa .
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Randomized Study ◽  
Detailed Examination ◽  
Randomised Study ◽  
Significant Difference ◽  
Operative Complications ◽  
Mesh Hernioplasty ◽  
Post Operative Complications

Background: Bassini’s repair and the Lichtenstein’s tension free mesh hernioplasty are commonly used hernia repair techniques and yet there is no uniform opinion as to which is the best technique. This study was undertaken to compare the postoperative complications so as to determine the best suitable of the two procedures.Methods: A comparative randomized study was conducted on a total of 80 patients reporting to our hospital with inguinal hernia and were subjected to detailed examination, operated upon by either of technique and followed up. The post operative complications & pain were observed, analyzed and compared with other similar studies.Results: In this randomised study pain after 12 and 24 hours was significantly less in the Lichtenstein’s group when compared with Modified Bassini’s repair. However there was no significant difference at 36 hours. Chronic pain after 1, 3 & 6 months was also not significant.Conclusions: The Lichtenstein’s hernioplasty was comparatively better than Modified Bassini’s repair due to its simplicity, less dissection, lesser complications & lesser early pain and chronic pain in our study.

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