Comparison of outcome of inguinal hernia repair by combined method of repair (Lichtenstein and Bassini repair) and its comparison with older techniques
Keywords:Inguinal hernia, Bassini’s repair, Lichenstein tension free mesh hernioplasty, Hernia recurrence, Combined repair
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.
Lichtenstein IL. Herniorrhaphy:a personal experience with 6,321 cases. Am J Surg. 1987;153:553-9.
Amid PK. Pioneers in Hernia Surgery. Lichtenstein tension- free hernioplasty: Its inception, evolution, and principles. Hernia. 2004;8:1-7.
Cervantes J. Inguinal Hernia in the New Millennium. World J Surg. 2004;28:343-7.
Seid AS, Amos E. Entrapment neuropathy in laparoscopic herniorrhaphy. Surg Endosc. 1994;8:1050-3.
Haapaniemi S, Nilsson E. Recurrence and pain three years after groin hernia repair.Validation of postal questionnaire and selective physical examination as a method of follow up. Eur J Surg 2002;168:22-8.
Abrahamson J. Aetiology and pathophysiology of primary and recurrent inguinal hernia formation. Surg Clin North Am. 1998;78:953-72.
Barbier J, Carretier M, Richer J P. Cooper ligament repair:an update. World J Surg. 1989;13:499-505.
Fitzgibbons RJ, Jr, Camps J, Cornet DA, Nguyen NX, Litke BS, Annibali R, et al. Laparoscopic inguinal herniorrhaphy Results of multicenter trial. Ann Surg. 1995;221:3-13.