Vishnu, R Kumar (2020) Comparative study on Inguinodynia in Lichtenstein (OPEN) Versus Tapp (Laproscopic) Hernioplasty in Mohan Kumaramangalam Medical College Hospital, Salem. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.
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Abstract
INTRODUCTION: Inguinal hernia is one of the common surgical diseases in today’s population treatment is surgical while earlier hernia surgery was done mostly by open methods, in recent years the role of laparoscopic hernioplasty plays a major role in terms of post operative pain, morbidity, complications and analgesia usage. AIM OF THE STUDY: To compare inguinodynia in lichtenstein (open) versus TAPP (laparoscopic) hernioplasty” in relation with analgesia usage, post operative pain , complications, ambulation and hospital stay. MATERIALS AND METHODS: This propective study of 50 cases of unilateral inguinal hernia admitted in Government Mohan Kumaramangalam Medical College Hospital, Salem was done in the period from DECEMBER 2017 to SEPTEMBER 2019. The cases were evaluated through proper history taking , clinical examination, operative procedure and post operative follow ups. DISCUSSION: In the prospective study that I have conducted I have divided them into two groups. Group A – underwent Lichtenstein’s hernioplasty (open) and Group B – underwent TAPP (laparoscopic hernioplasty) The mean age in group A is 40.44 and in group B is 48.28. The incidence of Indirect inguinal hernia in Group A is 56% and in Group B is 60%, thus Indirect hernia is more common. Incidence of duration of post operative pain was more in Group A with a mean of 31.20 and in Group B, the mean is 18.72, thus mean pain was significantly less in Group B. While comparing the post operative complications of hernioplasty, 64% in Group A did not develop any complications whereas in Group B 92% did not develop, thereby proving that post operative complications were significantly less in Group B. On comparing the anesthesia dosage in Group A the mean value is 3.44 with a standard deviation of 1.58 whereas in Group B is 1.96 and standard deviation of 0.98. Here the p value is less than 0.05, indicating it to be statistically significant. While comparing the visual analogue scale, the post hernioplasty pain was more I Group A with a mean of 3.08 and in Group B 1.88, thus the incidence of Inguinodynia is more in Group A. CONCLUSION: Lichtenstein tension free hernioplasty under local anaesthesia is an extremely safe day care operation .It is inexpensive and effective procedure and the benefits are low morbidity , low recurrence rate and early return to normal activities. It results in faster recovery speedy discharge and less anaesthesia related complications.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711412 |
| Uncontrolled Keywords: | Inguinodynia in Lichtenstein (OPEN), Tapp (Laproscopic) Hernioplasty, Comparative study. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 12 Feb 2021 16:20 |
| Last Modified: | 12 Feb 2021 16:20 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14060 |
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