Retrospective analysis of inguinal hernia repair by various methods in a teaching institute
Keywords:
Inguinal hernia, Meshplasty, Lichtenstein
Abstract
Background / Aim: Inguinal hernia is a very common problem. Surgical repair is the current approach. This original article aims to study various methods of inguinal hernia repair over a span of 3 years in a teaching hospital.
Methods: All the patients operated electively for uncomplicated inguinal hernia from 2010 to 2012 were selected for the study. They were operated by various methods and followed till 2013.
Results: There were total 260 cases of inguinal hernia repair during study period. 210 cases were operated by Lichtenstein method of hernioplasty, 27 by Preperitoneal meshplasty and 23 by TEP.
Conclusion: Lichtenstein repair and endoscopic/laparoscopic techniques have similar efficacy. It is found that Lichtenstein’s tension free repair is standard and cost effective.
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References
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4. Lau H, Patil NG, Yuen WK Day-case endoscopic totally extraperitoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males: a randomized trial. Surg Endosc. 2006 Jan;20(1):76-81.
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7. GE Wantz (2000) Testicular atrophy and chronic residual neuralgia as a risk of hernioplasty after inguinal surg. Cl.N. Am 13(3):571–581. [pubMed]
8. Hendry WF. Testicular Epididymal and vassal injuries. BJU Int. 2000;86:344–348. [pubMed]
9. Fenoglio ME, Bermas HR, Haun WE, Moore JT. Inguinal hernia repair: results using an open preperitoneal approach. Hernia. 2005 May;9(2):160-1. [pubMed]
10. Kulacoglu H. Current options in inguinal hernia repair in adult patients. Hippokratia.2001;15(3):223–231. [pubMed]
11. Nienhuijs S, Staal E, Keemers-Gels M, Rosman C, Strobbe L Pain after open preperitoneal repair versus Lichtenstein repair: a randomized trial. World J Surg. 2007 Sep;31(9):1751-7; discussion 1758-9. [pubMed]
12. Karthikesalingam A, Markar SR, Holt PJ, Praseedom RK. Metaanalysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. Br J Surg.2010;97:4–11. [pubMed]
13. Bay-Nielsen M, Perkins FM, Kehlet H. Pain and functional impairment 1 year after inguinal herniorhaphy: a nationwide questionnaire study. Ann Surg. 2001;233:1–7. [pubMed]
14. Callesen T, Beck K, Kehlet H. Prospective study of chronic pain after groin hernia repair. Br J Surg.1999;86:1528–1531. [pubMed]
15. Poobalan AS, Bruce J, King PM, Chambers WA, Koukowski ZH, Smith WCS. Chronic pain and quality of life following open inguinal hernia repair. Br J Surg. 2001;88:1122–1126. [pubMed]
16. Kurzer M, Belsham PA, Kark AE. The Lichtenstein repair. Surg Clin North Am. 1998;78:1025–1046. [pubMed]
17. Amid PK, Shulman AG, Lichtenstein IL. Simultaneous repair of bilateral inguinal hernias under local anesthesia. Ann Surg. 1996;223:249–252.
18. Lal P, Kajla RK, Chander J, Saha R, Ramteke VK .Randomized controlled study of laparoscopic total extraperitoneal versus open Lichtenstein inguinal hernia repair. Surg Endosc. 2003 Jun;17(6):850-6.
19. Hynes DM, Stroupe KT, Luo P, Giobbie-Hurder A, Reda D, Kraft M . Cost effectiveness of laparoscopic versus open mesh hernia operation: results of a Department of Veterans Affairs randomized clinical trial. J Am Coll Surg. 2006;203:447–457.
20. McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, Vale L, Grant A. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess. 2005 Apr;9(14):1–203 iii-iv.
21. Eklund A, Carlsson P, Rosenblad A, Montgomery A, Bergkvist L, Rudberg C. Swedish Multicentre Trial of Inguinal Hernia Repair by Laparoscopy (SMIL) study group. Long-term costminimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair. Br J Surg.2010;97:765–771.
22. Paajanen H, Varjo R. Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents. BMC Surg. 2010;10:24. [pubMed]
23. Gainant A. Where does laparoscopy fit in the treatment of inguinal hernia in 2003?. J Chir [Paris]. 2003 Jun; 140 [3]:171-5.
2. Ruhl CE, Everhart JE. Risk factors for inguinal hernia among adults in the US population. Am J Epidemiol. 2007;165:1154–1161. [pubMed]
3. George H Sakorafas*, Ioannis Halikias, Christos Nissotakis, Nikolaos Kotsifopoulos,Alexios Stavrou, Constantinos Antonopoulos and George A Kassaras. Open tension free repair of inguinal hernias; the Lichtenstein technique.BMC Surg. 2001,1:3,doi:10.1186/1471-2482-1-3.
4. Lau H, Patil NG, Yuen WK Day-case endoscopic totally extraperitoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males: a randomized trial. Surg Endosc. 2006 Jan;20(1):76-81.
5. Reid I, Devlin HB. Testicular atrophy as a consequence of inguinal hernia repair. BJS. 2005;81:91–93. [pubMed]
6. Ibingira CB. Long term complications of inguinal hernia repairs. East Afr Med J. 1999;76(7):396–399. [pubMed]
7. GE Wantz (2000) Testicular atrophy and chronic residual neuralgia as a risk of hernioplasty after inguinal surg. Cl.N. Am 13(3):571–581. [pubMed]
8. Hendry WF. Testicular Epididymal and vassal injuries. BJU Int. 2000;86:344–348. [pubMed]
9. Fenoglio ME, Bermas HR, Haun WE, Moore JT. Inguinal hernia repair: results using an open preperitoneal approach. Hernia. 2005 May;9(2):160-1. [pubMed]
10. Kulacoglu H. Current options in inguinal hernia repair in adult patients. Hippokratia.2001;15(3):223–231. [pubMed]
11. Nienhuijs S, Staal E, Keemers-Gels M, Rosman C, Strobbe L Pain after open preperitoneal repair versus Lichtenstein repair: a randomized trial. World J Surg. 2007 Sep;31(9):1751-7; discussion 1758-9. [pubMed]
12. Karthikesalingam A, Markar SR, Holt PJ, Praseedom RK. Metaanalysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. Br J Surg.2010;97:4–11. [pubMed]
13. Bay-Nielsen M, Perkins FM, Kehlet H. Pain and functional impairment 1 year after inguinal herniorhaphy: a nationwide questionnaire study. Ann Surg. 2001;233:1–7. [pubMed]
14. Callesen T, Beck K, Kehlet H. Prospective study of chronic pain after groin hernia repair. Br J Surg.1999;86:1528–1531. [pubMed]
15. Poobalan AS, Bruce J, King PM, Chambers WA, Koukowski ZH, Smith WCS. Chronic pain and quality of life following open inguinal hernia repair. Br J Surg. 2001;88:1122–1126. [pubMed]
16. Kurzer M, Belsham PA, Kark AE. The Lichtenstein repair. Surg Clin North Am. 1998;78:1025–1046. [pubMed]
17. Amid PK, Shulman AG, Lichtenstein IL. Simultaneous repair of bilateral inguinal hernias under local anesthesia. Ann Surg. 1996;223:249–252.
18. Lal P, Kajla RK, Chander J, Saha R, Ramteke VK .Randomized controlled study of laparoscopic total extraperitoneal versus open Lichtenstein inguinal hernia repair. Surg Endosc. 2003 Jun;17(6):850-6.
19. Hynes DM, Stroupe KT, Luo P, Giobbie-Hurder A, Reda D, Kraft M . Cost effectiveness of laparoscopic versus open mesh hernia operation: results of a Department of Veterans Affairs randomized clinical trial. J Am Coll Surg. 2006;203:447–457.
20. McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, Vale L, Grant A. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess. 2005 Apr;9(14):1–203 iii-iv.
21. Eklund A, Carlsson P, Rosenblad A, Montgomery A, Bergkvist L, Rudberg C. Swedish Multicentre Trial of Inguinal Hernia Repair by Laparoscopy (SMIL) study group. Long-term costminimization analysis comparing laparoscopic with open (Lichtenstein) inguinal hernia repair. Br J Surg.2010;97:765–771.
22. Paajanen H, Varjo R. Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents. BMC Surg. 2010;10:24. [pubMed]
23. Gainant A. Where does laparoscopy fit in the treatment of inguinal hernia in 2003?. J Chir [Paris]. 2003 Jun; 140 [3]:171-5.
CITATION
DOI: 10.17511/ijmrr.2013.i05.05
Published: 2013-12-31
How to Cite
1.
D Akruwala S, M Sharma V. Retrospective analysis of inguinal hernia repair by various methods in a teaching institute. Int J Med Res Rev [Internet]. 2013Dec.31 [cited 2024Jul.3];1(5):240-4. Available from: https://ijmrr.medresearch.in/index.php/ijmrr/article/view/42
Section
Original Article
OAI - Open Archives Initiative
