scholarly journals INCIDENCE OF DELEYED RECURRENCE IN INGUINAL HERNIA REPAIR WITH POLYPROPYLENE DARN.

1969 ◽  
Vol 4 (1) ◽  
pp. 458-462
Author(s):  
SAMIEULLAH ◽  
MANZOOR ALI ◽  
AJMAL KHAN ◽  
SAIFUR RAHMAN ◽  
M. HUSSAIN
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Wound Infection ◽  
Inguinal Hernia Repair ◽  
Sampling Technique ◽  
Cost Effective ◽  
Posterior Wall ◽  
Teaching Hospitals ◽  
Poly Propylene

BACKGROUND: Inguinal Hernia is a global issue, adults with developed posterior wall of inguinalcanal needs an effective, safe, and cost effective tension free repair.OBJECTIVE: To know about the effectiveness of poly propylene darn in inguinal hernia, in terms ofdelayed recurrence.METHODS: It is a descriptive study which was conducted in Saidu Group of Teaching Hospitals;Saidu Sharif Swat From January 1999 to May 2013. Total of 386 patients collected by non probabilityconvenient sampling technique, and 390 repairs (4-patient with bilateral inguinal hernia repair) wereincluded in the study. 180 were indirect, out of these 15 were strangulated, while 210 were of directverity. 90 repairs were made under local anesthetic block, 300 were operated under general anesthesia.Our last case of the series was operated in May 2004. All the patients were discharged on either 1st or 2ndpostoperative day. 3 patients (0.76%) were readmitted for wound infection and were discharged on 8thpostoperative day. Patients were subsequently examined on day 7th and 14lh post operative day for earlycomplications and then on 6th month and yearly for 9 years, for delayed recurrence. Data were collectedon structured proforma and were analyzed on SPSS.RESULTS: Ages ranged in our study were from 20-80 years (mean of 50 years). 180 patients hadindirect hernia (46.15%), while 210 were of direct verity. Among 390 repairs 15 patients (3.8%)developed superficial wound infection, 5 patients (0.8%) established deep wound infection. 3 patients(0.76%) developed scrotal hematoma, only one case (0.25%) was re explored. 20 patients (5.18%) wentinto urinary retention and were catheterized for 24 hours. 2 patients (0.5%) developed early recurrencewith in the first year. 1 patient (0.25%) presented with hydrocele. 2 patients (0.51%) complained ofneuralgia at groin.During the long follow up for delayed recurrence we lost 58 patients (died, went abroad and some werenot willing for this follow up)among the remaining 328 patients 7 patients developed delayed recurrence2 were bilateral(2.4%). They were re operated and this time meshplasty with poly propylene meshcarried out.CONCLUSION: We concluded that Dam repair with polypropylene is safe and cost-effective, even interms of delayed recurrence of inguinal hernia, and recommend it for primary hernia repair.Key Words: Inguinal hernia, Polypropylene Dam, Delayed Recurrence.

scholarly journals Comparison of tension free Desarda technique with Lichtenstein for inguinal hernia repair

2019 ◽  
Vol 6 (5) ◽  
pp. 1528
Author(s):  
Abhishek Gupta ◽  
Subash Chandra Sharma ◽  
Janmejai Prasad Sharma ◽  
Pradeep Singhal
Keyword(s):  
Inguinal Hernia ◽  
Foreign Body ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Cost Effective ◽  
Foreign Body Sensation ◽  
Everyday Activity ◽  
Post Operative Pain ◽  
Body Sensation

Background: Inguinal hernia is common surgical problem for which mesh based technique, particularly Lichtenstein repair is considered gold standard. However it has its own limitation such as foreign body sensation, wound infection, cord fibrosis, chronic pain, etc. Desarda technique for hernia repair is emerging technique for inguinal hernia repair known for its low cost procedure, less recurrence rate and feasibility of the procedure. The objective of the study was to compare treatment of primary inguinal hernia repair with these methods in terms of various operative and post-operative parameters.Methods: 64 patients included in the study and operated after randomization. Intra-operative time, local complication, return to everyday activity, post-operative pain, foreign body sensation and early recurrence were analysed.Results: 51 patients were analysed with a minimum follow up period of 3 months and rest were lost on follow up. Operative time was less in Desarda’s repair (28.24 vs. 30.88 min). Desarda repair was cost effective, return to everyday activity was early in Desarda group, there was significantly (p<0.001) less post-operative pain measured on VAS on 2nd POD, 7th POD and 1 month. No recurrence observed.Conclusions: Desarda repair is easy to perform and takes less time to perform, it is also cost effective. Desarda repair when compared with Lichtenstein was superior in terms of postoperative pain, return to everyday activity and no foreign body sensation. Desarda repair is superior to mesh based technique in terms of outcome. 

scholarly journals INGUINAL HERNIOPLASTY

2009 ◽  
Vol 16 (04) ◽  
pp. 475-480
Author(s):  
MUHAMMAD SUHAIL AMER ◽  
MUHAMMAD ASHRAF
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Sampling Technique ◽  
Clinical Problem ◽  
Preoperative Pain ◽  
Group A ◽  
The Difference ◽  
Group B

Introduction: Chronic pain following inguinal hernia repair is becoming a significant clinical problem, involving increased numberof patients and surgeons. Much controversy exists regarding treatment. Elective division of the nerves has been proposed to reduce the riskof chronic post operative pain. O b j e c t i v e s : To evaluate the effectiveness of elective neurectomy during open hernia mesh repair, in reducingpostoperativ pain. Materials a n d m e t h o d s : Settings: All patients admitted in SUN department of surgery, Allied Hospital Faisalabad wereincluded in study. Study was started after the approval of synopsis on with inguinal hernia 2n d Feb, 2007 to Aug, 2007.100 patients of inguinalhernias were divided into 2 groups, 50 in each group i.e. group A & group B. The last patient was registered in the first week of July,convenience nonprobability sampling was used for location of patients in two groups. Results: On day one the pain was assessed in the twogroups i.e. Group A and group B (convenience non probability sampling technique used for patient grouping).It was found to be absent in 24/50(48 %) and 18/50 (36 %), mild in 10/50 (20 %) and 12/50 (24 %), it was moderate in10/50 (20 %) and 10/50 (20 %) and was severe in 6/50(12%) and 10/50 (20%) in the two groups respectively. One week after operation, in groups A and B, respectively, pain assessed with the useof the 4-point verbal scale was absent in 45 patients (90%) and 37 patients (74%), mild in 3/50 (6%) and 4/50 (8%), moderate in 2/50 (4%) and6/50 (12%), and severe in none and 3/50 (6%). Postoperative pain was not correlated with the presence of preoperative pain, and no correlationwas evidenced in the 2 subgroups. One month after operation, follow-up visits were performed in group A patients and group B patients. Inparticular, pain was absent in 46/50 (92%) patients in group A and 41/50 (82%) patients in group B. It was mild in 2 (6%) and 6/50 (12 %),moderate in 2/50 (4%) and 2/50 (4 %) none of the patients with elective neurectomy had pain at follow up of one month and 1 (2 %)one patientwithout elective neurectomy had pain. The numbness was assessed by checking sense of touch around the operated area. The difference foundbetween the 2 groups with respect to the presence of numbness was 15/50 (30 %) and 7/50 (14%) in the two groups i.e. group A and groupB respectively at day 1 and 12/50 (24%) and 7/50 (14%) at follow up of one week and it was 5/50 (10%) and 2/50(4%) at one month in the twogroups. C o n c l u s i o n s : When performing lichtenstein inguinal hernia repair, routine ilioinguinal, iliohypogastric and genital branch ofgenitofemoral nerves neurectomy is a reasonable option.

Inguinal Hernia Repair Using Self-adhering Sutureless Mesh: Adhesix™: A 3-Year Follow-up with Low Chronic Pain and Recurrence Rate

2016 ◽  
Vol 82 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Malek Tabbara ◽  
Laurent Genser ◽  
Manuela Bossi ◽  
Maxime Barat ◽  
Claude Polliand ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrence Rate ◽  
Initial Surgery ◽  
Complications Rate

To review our experience and outcomes after inguinal hernia repair using the lightweight self-adhering sutureless mesh “Adhesix™” and demonstrate the safety and efficacy of this mesh. This is a 3-year retrospective study that included 143 consecutive patients who underwent 149 inguinal hernia repairs at our department of surgery. All hernias were repaired using a modified Lichtenstein technique. Preoperative, perioperative, and postoperative data were prospectively collected. Incidence of chronic pain, postoperative complications, recurrence, and patient satisfaction were assessed three years postoperatively by conducting a telephone survey. We had 143 patients with a mean age of 58 years (17–84), who underwent 149 hernia repairs using the Adhesix™ mesh. Ninety-two per cent (131 patients) were males. Only 10 patients (7%) had a postoperative pain for more than three years. In our series, neither age nor gender was predictive of postoperative pain. Only one patient had a hematoma lasting for more than one month and only four patients (2.8%) had a recurrence of their hernia within three years of their initial surgery. Ninety per cent of the patient expressed their satisfaction when surveyed three years after their surgery. In conclusion, the use of the self-adhering sutureless mesh for inguinal hernia repair has been proving itself as effective as the traditional mesh. Adhesix™ is associated with low chronic pain rate, recurrence rate, and postoperative complications rate, and can be safely adopted as the sole technique for inguinal hernia repair.

Routine inguinal hernia repair in the pediatric population: Is office follow-up necessary?

1993 ◽  
Vol 28 (9) ◽  
pp. 1185-1187 ◽  
Author(s):  
J. Koulack ◽  
P. Fitzgerald ◽  
D.A. Gillis ◽  
M. Giacomantonio
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Pediatric Population

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

2003 ◽  
Vol 164 (7) ◽  
pp. 533-536 ◽  
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

scholarly journals O12 OPEN PREPERITONEAL INGUINAL HERNIA REPAIR, TREPP VERSUS TIPP IN A RANDOMIZED CLINICAL TRIAL

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Willem Bökkerink ◽  
Giel Koning ◽  
Patrick Vriens ◽  
Roland Mollen ◽  
Willem Akkersdijk ◽  
...  
Keyword(s):  
Clinical Trial ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Randomized Clinical Trial ◽  
Inguinal Hernia Repair ◽  
Recurrence Rates ◽  
Significant Difference ◽  
Related Quality

Abstract Aim The preperitoneal mesh position for inguinal hernia repair showed beneficial results regarding Chronic Postoperative Inguinal Pain (CPIP) with low recurrence rates. Two open preperitoneal techniques, the TransREctus Sheath PrePeritoneal (TREPP) and the TransInguinal PrePeritoneal (TIPP) technique, were compared in a randomized clinical trial with the hypothesis of less patients with CPIP after TREPP due to complete avoidance of nerve contact. Materials and Methods Adult patients with a primary unilateral inguinal hernia were randomized to either TREPP or TIPP in four hospitals. Prior to the trial’s start the study protocol was ethically approved and published. Outcomes included CPIP after 1 year (primary outcome) and recurrence rates, adverse events and Health related Quality of Life (secondary outcomes). Follow-up was performed at 2 weeks, 6 months and 1 year. Results Baseline characteristics were comparable in both groups. Pain was less often present after TREPP at 2 weeks and 6 months, but the CPIP at rest at 1 year was comparable 1.9% after TREPP vs 1.4% after TIPP, p = 0.535). The overall recurrence rate was higher in the TREPP group, 8.9% vs 4.6%, p = 0.022). Corrected for a learning curve for TREPP, no significant difference could be assessed (TREPP 5.7% and TIPP 4.8%, p = 0.591). Conclusions both the TREPP and TIPP technique resulted in a low incidence of CPIP after 1 year follow-up. The TREPP method can be considered a solid method for inguinal hernia repair if expertise is present. The learning curve of the TREPP techniques needs further evaluation.

Follow-up after laparoscopic inguinal hernia repair, can it be done by phone? A prospective study in 300 patients, the PINQ-PHONE

2015 ◽  
Vol 29 (11) ◽  
pp. 3292-3297 ◽  
Author(s):  
Baukje van den Heuvel ◽  
J. A. van Jarwaarde ◽  
P. Wichers ◽  
E. S. M. de Lange de Klerk ◽  
H. J. Bonjer ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Prospective Study ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
A Prospective Study

Watchful Waiting versus Surgery for Inguinal Hernia

2017 ◽  
Author(s):  
Rachel J. Kwon
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Clinical Case ◽  
Watchful Waiting ◽  
Surgical Repair ◽  
Hernia Surgery ◽  
Study Intervention ◽  
Landmark Study

This chapter provides a summary of a landmark study in hernia surgery. For men with minimally symptomatic inguinal hernias, does deferring surgical repair until symptoms develop lead to worse outcomes with respect to pain and physical function? Starting with that question, it describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case involving inguinal hernia repair.

scholarly journals Phone follow-up after inguinal hernia repair

2020 ◽  
Author(s):  
Natalie Liu ◽  
Jacob A. Greenberg ◽  
Yiwei Xu ◽  
Amber L. Shada ◽  
Luke M. Funk ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair
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