Karthikeyan, N (2020) Comparative study of Conventional Mesh Versus Self Retaining Mesh in Lichtensteins Inguinal Hernia Repair in Government Mohan Kumaramangalam Medical College Hospital, Salem. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.
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Abstract
INTRODUCTION: Inguinal hernia is the one of the common disease a surgeon has to manage. The primary choice of repair in hernia repair is lichensteins technique. An alternative to lichensteins technique is using self retaining mesh instead of normal conventional mesh. The purpose of the study was to compare the clinical outcomes following self retaining mesh to traditional lichensteins polypropylene mesh secured with sutures. AIM OF THE STUDY: To compare the Reduction in the operative time in hernia repair and the postoperative pain and postoperative infection and recurrence between the normal conventional mesh and self retaining mesh. MATERIALS AND METHODS: This prospective study comprised of 40 cases of inguinal hernia which were randomly divided into two groups of 20 each named Group A and Group B. Group A - Lichensteins repair using conventional mesh, Group B – lichensteins repiar using self- retaining mesh. OBSERVATION: The datas of patients who underwent surgery using conventional mesh and self Retaining mesh was compared in terms of operative time, post-operative pain, infection, complication & recurrence. Statistical significance between two groups were found out using standard error of difference between means and proportions. C0NCLUSION: A study among patients suffering from inguinal hernia comparing between traditional methods and self retaining mesh repair reveals the following. The operative time was low in the Self-Retaining Mesh group with the maximum time reaching between 40-45 minutes for 45% of the participants. In the Conventional Mesh group, it was longer with maximum time reaching 65-70 minutes. The majority of them having operation time between 55-60 minutes. Pain was higher among the Conventional Mesh group. None of the group had recurrence. Self-Retaining Mesh is better than the conventional Mesh methods in terms of operative time and postoperative pain & complications.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711404 |
| Uncontrolled Keywords: | Conventional Mesh, Self Retaining Mesh, Lichtensteins Inguinal Hernia Repair, Comparative study. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 12 Feb 2021 15:30 |
| Last Modified: | 12 Feb 2021 15:30 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14052 |
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