Delayed complications after open inguinal hernia repair: a comparison of two techniques

Authors

  • Vashisht Dikshit Department of Surgery, Dr. D. Y. Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India http://orcid.org/0000-0001-9320-7657
  • Digvijay Jadhav Department of Surgery, Dr. D. Y. Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India
  • Iqbal Ali Department of Surgery, Dr. D. Y. Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India
  • Pratham Mody Department of Surgery, Dr. D. Y. Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India
  • Neha Srivastava Department of Surgery, Dr. D. Y. Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune, India

DOI:

https://doi.org/10.18203/2349-2902.isj20182930

Keywords:

Chronic pain, Hernia, Hernioplasty, Mesh, Recurrence

Abstract

Background: The open preperitoneal repair offers the benefits of placing the mesh in the preferred position while avoiding the disadvantages of laparoscopic repair.

Methods: A total of 60 patients with bilateral inguinal hernias were randomized to undergo either the standard Lichtenstein meshplasty or the modified iliopubic tract repair in a teaching hospital. Outcomes measured were chronic inguinal pain, groin numbness, and recurrence.

Results: Delayed complications like chronic inguinal pain and numbness were not seen in the iliopubic tract group. However, this difference was not statistically significant (p>0.05). One patient in the Lichtenstein repair group had recurrence of hernia. There were no recurrences in the iliopubic tract repair group. This difference again, was not statistically significant (p>0.05).

Conclusions: The iliopubic tract repair offers an excellent alternative to the Lichtenstein meshplasty, and is associated with lower incidence of delayed neurological complications, recurrence rates on par with the gold standard Lichtenstein meshplasty.

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Published

2018-07-24

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Original Research Articles