Comparative Study of Lichtenstein's Mesh Repair versus Modified Bassini's Repair for Inguinal Hernia
Authors/Creators
- 1. Assistant Professor, Department of Surgery, SCB Medical College and Hospital, Cuttack, Odisha
- 2. Senior Resident, Department of Neurosurgery, SCB Medical College and Hospital, Cuttack, Odisha
Description
Introduction: An inguinal hernia, which manifests as a bulge in the groyne, is a chronic condition that is likely as old as man. Over the previous few decades, hernia repair has changed, going from anatomical repairs to mesh hernioplasties to laparoscopic repair. The concept of tension-free hernioplasty – Lichtenstein mesh repair was developed in response to an unsatisfactory rate of recurrence, prolonged postoperative pain, and recovery time following tissue repair, as well as our understanding of the metabolic basis of inguinal hernias. The tension-tree mesh repair is clearly better to the conventional tissue approximation approach, as shown by numerous comparative randomised experiments. However, simple and affordable tissue restoration techniques like Bassini’s offer an edge. Materials & Methods: The purpose of this comparative randomised study, which included 70 patients, was to examine the clinical presentation, risk factors, and complications associated with surgical procedures over an 18-month period. Of the 70 patients, 35 were assigned to the group LMR (Lichtenstein’s Mesh Repair) and 35 to the group MBR (Modified Bassini’s Repair). Without discrimination, all patients diagnosed with inguinal hernias who were admitted to the department of general surgery at SCB Medical College in Cuttack were included in the study on a serial basis. Regardless of the patients’ gender, all patients who visit the surgical outpatient department of general surgery at the SCB Medical College in Cuttack with symptoms of a swelling and/or pain in the inguino-scrotal region are diagnosed with an inguinal hernia. Results: A total of 70 patients participated in the trial, with 35 (or 50%) of them being assigned to each group. In the current study, all patients were chosen regardless of the kind of inguinal hernia, with the distribution between the two groups being identical. Of the patients, 20 (28.6%) instances were of the Direct type and 50 (71.4%) cases were of the Indirect type. The presentation of an indirect hernia was 2.5 times greater than a direct hernia. The LMR group’s mean surgery time (41.747.29) was significantly (p-value 0.05) lower than the MBR group’s (47.117.51), showing that patients needed less time on the operating table, lowering the risk of associated complications, including anaesthetic ones. Residents also found LMR to be simpler to perform than MBR, requiring a smaller learning curve. Only 2 patients, or 5.7%, of those who underwent Lichtenstein’s mesh hernioplasty in the current study experienced post-operative wound infection. In the MBR group, there were none. P-value (p > 0.05) was not significant. Conclusion: While the current comparative analysis does not clearly demonstrate any advantages of one repair over the other, Lichtenstein’s mesh hernioplasty offers better outcomes in terms of recurrence and relative ease of the repair procedure when compared to modified Bassini’s repair. In this study it was found that, time taken for lichtenstein mesh repair was significantly less. As the duration of study was fix cannot comment a strong status about recurrence but recurrence is less in lichtenstein mesh repair.
Abstract (English)
Introduction: An inguinal hernia, which manifests as a bulge in the groyne, is a chronic condition that is likely as old as man. Over the previous few decades, hernia repair has changed, going from anatomical repairs to mesh hernioplasties to laparoscopic repair. The concept of tension-free hernioplasty – Lichtenstein mesh repair was developed in response to an unsatisfactory rate of recurrence, prolonged postoperative pain, and recovery time following tissue repair, as well as our understanding of the metabolic basis of inguinal hernias. The tension-tree mesh repair is clearly better to the conventional tissue approximation approach, as shown by numerous comparative randomised experiments. However, simple and affordable tissue restoration techniques like Bassini’s offer an edge. Materials & Methods: The purpose of this comparative randomised study, which included 70 patients, was to examine the clinical presentation, risk factors, and complications associated with surgical procedures over an 18-month period. Of the 70 patients, 35 were assigned to the group LMR (Lichtenstein’s Mesh Repair) and 35 to the group MBR (Modified Bassini’s Repair). Without discrimination, all patients diagnosed with inguinal hernias who were admitted to the department of general surgery at SCB Medical College in Cuttack were included in the study on a serial basis. Regardless of the patients’ gender, all patients who visit the surgical outpatient department of general surgery at the SCB Medical College in Cuttack with symptoms of a swelling and/or pain in the inguino-scrotal region are diagnosed with an inguinal hernia. Results: A total of 70 patients participated in the trial, with 35 (or 50%) of them being assigned to each group. In the current study, all patients were chosen regardless of the kind of inguinal hernia, with the distribution between the two groups being identical. Of the patients, 20 (28.6%) instances were of the Direct type and 50 (71.4%) cases were of the Indirect type. The presentation of an indirect hernia was 2.5 times greater than a direct hernia. The LMR group’s mean surgery time (41.747.29) was significantly (p-value 0.05) lower than the MBR group’s (47.117.51), showing that patients needed less time on the operating table, lowering the risk of associated complications, including anaesthetic ones. Residents also found LMR to be simpler to perform than MBR, requiring a smaller learning curve. Only 2 patients, or 5.7%, of those who underwent Lichtenstein’s mesh hernioplasty in the current study experienced post-operative wound infection. In the MBR group, there were none. P-value (p > 0.05) was not significant. Conclusion: While the current comparative analysis does not clearly demonstrate any advantages of one repair over the other, Lichtenstein’s mesh hernioplasty offers better outcomes in terms of recurrence and relative ease of the repair procedure when compared to modified Bassini’s repair. In this study it was found that, time taken for lichtenstein mesh repair was significantly less. As the duration of study was fix cannot comment a strong status about recurrence but recurrence is less in lichtenstein mesh repair.
Files
IJPCR,Vol15,Issue2,Article58.pdf
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Additional details
Dates
- Accepted
-
2023-02-03
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue2,Article58.pdf
- Development Status
- Active
References
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