A comparative study of Desarda’s mesh free inguinal hernia repair with modified Bassini’s repair

Objective. This is a prospective study of 50 cases of inguinal hernias which were treated through open inguinal hernia repair techniques. The study was conducted with the objective of comparing the effectiveness of these procedures and complications. Materials and Methods. A number of 50 cases of inguinal hernias admitted to Dr. BR Ambedkar Medical College and Hospital were selected on the basis of the non-probability (purposive) sampling method. All the patients with direct and indirect uncomplicated hernias treated by means of an open approach were included. After the preoperative preparation, they were randomly chosen either for Desarda’s or Modified Bassini’s repair techniques. Results. In the postoperative period, moderate pain was experienced by 19 patients included in the Desarda group and 17 patients included in the Modified Bassini’s repair group on day 1. The postoperative wound infection developed in 2 cases of Desarda and 3 cases of Modified Bassini’s, erythema was observed in 2 cases of Desarda and 3 cases of Modified Bassini’s, 3 cases reported the occurrence of seroma in the Desarda group and 4 cases of seroma were recorded in the Modified Bassini’s group. Conclusions. The patients who underwent Desarda repair complained of a higher intensity of pain, which could probably be attributed to the extensive dissection involved. The duration of Desarda repair was longer due to the learning curve of the surgeons in our hospital. The return to normal gait and normal activities was significantly lower in the Desarda group. The duration of hospital stays and the postoperative complications was not significantly different in the two groups. There were no recurrences in either of the groups until the current study.

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Comparison of outcome of inguinal hernia repair by combined method of repair (Lichtenstein and Bassini repair) and its comparison with older techniques

International Surgery Journal ◽

10.18203/2349-2902.isj20194427 ◽

2019 ◽

Vol 6 (10) ◽

pp. 3698

Author(s):

Binod Kumar ◽

M. Habibullah Ansari ◽

Sushil Kumar ◽

M. Asjad Karim Bakhteyar ◽

Chandrahas Yadav ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Combined Approach ◽

Combined Method ◽

Average Hospital ◽

Medical College ◽

Superficial Wound ◽

Bassini Repair ◽

A Prospective Study

Background: The aim of this study is to compare outcome of inguinal hernia repair by combined method of repair (Lichtenstein and Bassini repair) and its comparison with older techniques.Methods: A prospective study conducted on 158 patients reported in surgery OPD Patna Medical College and Hospital, Patna from July 2017 to June 2018 with inguinal hernia. All these patients were included in the study, operated by combined method of repair (Lichtenstein and Bassini repair) and followed up for 12 months. Data were entered and analyzed by SPSS version 10.0.Results: Study involved 158 patients who were operated by combined repair. Pain on 1st post-operative day was similar with previous study. Complication was erythema, scrotal swelling, neuralgia, superficial wound infection and seroma formation in the order of frequency. The average hospital stay was 5 days for combined approach. Recurrence rate was 0% in combined approach following 1 year of follow-up.Conclusions: As compared with previous studies of hernia repair by Modified Bassini’s and Lichenstein mesh hernioplasty, combined approach have comparatively better outcome.

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Single Surgeon Experience With Repair of Occult Inguinal Hernias Using the TAPP Approach: A Prospective Study

International Surgery ◽

10.9738/intsurg-d-15-00089.1 ◽

2015 ◽

Vol 100 (11-12) ◽

pp. 1403-1407 ◽

Cited By ~ 1

Author(s):

Fatih Ciftci

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Inguinal Hernias ◽

Total Extraperitoneal ◽

Surgeon Experience ◽

Clinical Diagnoses ◽

Physical Examinations ◽

A Prospective Study

The trans-abdominal preperitoneal (TAPP) approach provides access to the contralateral groin for exploration and repair of occult hernias. Previous studies have shown that the total extraperitoneal (TEP) approach also provides access to the contralateral groin for inguinal hernia repair. The aim of the current study was to document the rate of contralateral occult inguinal hernias diagnosed during the TAPP procedure. Data from all cases of TAPP inguinal hernia repair in our hospital were recorded prospectively for 3 years. Follow-up appointments included physical examinations. A total of 302 patients underwent TAPP inguinal hernia repair. We excluded 3 patients from the study and 299 were included. A total of 204 (68%) patients were scheduled for unilateral hernia repair and contralateral occult hernias were detected in 44 (21%) patients in this group. Of the 74 patients scheduled for bilateral repair, 60 (81%) underwent bilateral repair. In the remaining 29 patients, the diagnosis was changed to unilateral hernia. In this group, unilateral hernia repair was planned along with the possibility of contralateral hernia in 18 (6%) patients. Of these patients, 5 (27%) were subsequently found to have contralateral defects, 1 of whom underwent femoral repair. Our clinical diagnoses were 78% accurate. Identifying the actual incidence of contralateral occult inguinal hernia will enhance the planning of the treatment preoperatively and favor resource allotment planning for utilization of the operating room. TAPP allows preoperative diagnosis and treatment of contralateral occult hernias, saving the patient from additional symptoms and reoperations.

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Laparoscopic totally extra peritoneal (TEP) inguinal hernia repair: A series of 47 cases

Journal of Kathmandu Medical College ◽

10.3126/jkmc.v5i4.18608 ◽

2017 ◽

Vol 5 (4) ◽

pp. 120-123

Author(s):

Suman Kumar Shrestha

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Hospital Stay ◽

Inguinal Hernia Repair ◽

College Teaching ◽

Operation Time ◽

Medical College ◽

Inguinal Hernias ◽

Total Extraperitoneal ◽

The Mean

Background: Over the past years, several surgical techniques have been evolved, among which total extraperitoneal inguinal hernia repair is the laparoscopic technique which is more popular now.Objective: To evaluate the outcome of totally extra peritoneal laparoscopic hernioplasty in terms of operation time, hospital stay and complications.Methods: The prospectively designed descriptive study was carried out at Department of Surgery Unit III, Kathmandu Medical College Teaching Hospital from February 2014 to April 2015. Forty seven consecutive patients above 15 years of age underwent totally extra peritoneal repairs for inguinal hernias. The selection criteria were reducible primary or recurrent, unilateral, direct and indirect inguinal hernias. All the relevant details of each patient were noted subsequently and analyzed statistically using Statistical Program for Social Sciences (SPSS) version 15.Results: The mean age of patient was 49±2.5 years. The mean operation time was 65±5.3 minutes. There were no serious complications except four (8.5%) cases of groin seroma which resolved after single time aspiration. Three (6.3%) cases had developed recurrence, two (4.2%) had developed hydrocele in a median follow up period of 6±1.5 (range, 3-9months). The mean inpatient hospital stay was 1.7±0.2 (range, 1-2.4days).Conclusion: Total extra peritoneal hernioplasty is safe and feasible with acceptable complications and recurrence rates.Journal of Kathmandu Medical College, Vol. 5, No. 4, Issue 18, Oct.-Dec., 2016, page: 120-123

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Follow-up after inguinal hernia repair. Questionnaire compared with physical examination: a prospective study in 299 patients

The European Journal of Surgery ◽

10.1080/110241598750005903 ◽

2003 ◽

Vol 164 (7) ◽

pp. 533-536 ◽

Cited By ~ 26

Author(s):

Patrick M. Vos ◽

Maarten P. Simons ◽

Jan S. K. Luitse ◽

Dick van Geldere ◽

Mark J. W. Koelemaij ◽

...

Keyword(s):

Inguinal Hernia ◽

Physical Examination ◽

Hernia Repair ◽

Prospective Study ◽

Inguinal Hernia Repair ◽

A Prospective Study

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Bilateral inguinal hernia repair: laparoscopic or open approach?

Hernia ◽

10.1007/s10029-010-0736-2 ◽

2010 ◽

Vol 15 (1) ◽

pp. 15-18 ◽

Cited By ~ 39

Author(s):

X. Feliu ◽

R. Clavería ◽

P. Besora ◽

J. Camps ◽

E. Fernández-Sallent ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Open Approach ◽

Bilateral Inguinal Hernia

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Assessment of postoperative pain and hospital discharge after inguinal and iliohypogastric nerve block for inguinal hernia repair under spinal anesthesia: a prospective study

Revista da Associação Médica Brasileira ◽

10.1016/s0104-4230(11)70109-9 ◽

2011 ◽

Vol 57 (5) ◽

pp. 535-538 ◽

Cited By ~ 3

Author(s):

Guilherme de Castro Santos ◽

Gisela Magalhães Braga ◽

Fábio Lopes Queiroz ◽

Túlio Pinho Navarro ◽

Renato Santiago Gomez

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Hernia Repair ◽

Prospective Study ◽

Spinal Anesthesia ◽

Inguinal Hernia Repair ◽

Hospital Discharge ◽

Nerve Block ◽

A Prospective Study

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Contralateral exploration and repair of occult inguinal hernias during laparoscopic inguinal hernia repair: systematic review and Markov decision process

BJS Open ◽

10.1093/bjsopen/zraa020 ◽

2020 ◽

Vol 5 (2) ◽

Author(s):

N H Dhanani ◽

O A Olavarria ◽

S Wootton ◽

M Petsalis ◽

N B Lyons ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Markov Decision Process ◽

Decision Process ◽

Expectant Management ◽

Contralateral Exploration ◽

Unilateral Inguinal Hernia ◽

Inguinal Hernias ◽

Markov Decision

Abstract Background Contralateral clinically occult hernias are frequently noted at the time of laparoscopic unilateral inguinal hernia repair. There is no consensus on the role of contralateral exploration and repair. This systematic review assessed the safety and efficacy of operative repair of occult contralateral inguinal hernias found during unilateral repair. Methods PubMed, Embase, and the Cochrane Central Register of Controlled Trials were searched from inception to February 2020. Adults diagnosed with a unilateral inguinal hernia undergoing laparoscopic repair were included. The primary outcome was the incidence of occult contralateral hernias. Summative outcomes of operative and expectant management were reported along with development of a Markov decision process. Results Thirteen studies (1 randomized trial, 12 observational cohorts) with 5000 patients were included. The incidence of occult contralateral inguinal hernias was 14.6 (range 7.3–50.1) per cent. Among patients who underwent repair, 10.5 (4.3–17.0) per cent experienced a postoperative complication. Of patients managed expectantly, 29 per cent later required elective repair for symptoms. Mean follow-up was 36 (range 2–218) months. Using a Markov decision process, it was calculated that, for every 1000 patients undergoing unilateral inguinal hernia repair, contralateral exploration would identify 150 patients with an occult hernia. Repair would result in 15 patients developing a postoperative complication and 105 undergoing unnecessary repair. Alternatively, expectant management would result in 45 patients requiring subsequent repair. Conclusion Contralateral repair is not warranted in patients with occult hernias diagnosed at the time of elective hernia repair. The evidence is largely based on observational studies at high risk of bias.

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