Laparoscopic mesh repair of inguinal hernia and lichtenstein’s tension free mesh repair of inguinal hernia: A comparative study

Suresh Kumar, R (2018) Laparoscopic mesh repair of inguinal hernia and lichtenstein’s tension free mesh repair of inguinal hernia: A comparative study. Masters thesis, Government Mohan Kumaramangalam Medical College, Salem.

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Abstract

Hernia is an abnormal protrusion of apart or whole of the viscous through an abnormal opening in the wall of the cavity which it contains. Inguinal hernias are being the most common external hernias accounting for 70-75%. Successful and effective management of inguinal hernias has always a challenge to surgeons in spite of various advancements in medicine and various surgical techniques. AIM AND OBJECTIVES: To compare the several parameters between the two methods of inguinal hernia mesh repair , namely Lichtenstein’s method and Laparoscopic inguinal hernia repair . MATERIALS AND METHODS : The prospective study of 80 cases of inguinal hernia admitted in Government Mohan Kumaramangalam Medical College Hospital, Salem was done in the period from Jan 2016 to Sep 2017,40 were operated by Lichtenstein’s inguinal hernia mesh repair and 40 cases were operated with Laparoscopic inguinal hernia repair . The cases were evaluated through proper history taking, clinical examination, operative procedure and post operative follow ups. OBSERVATION : In this study the mean duration of operation for Lichtenstein’s repair was 51 minutes and for Laparoscopic repair it was 81 minutes, intra operative complications were 5% in Lichtenstein’s repair (vascular injury) and in Laparoscopic repair it was nil. Post operative complications in laparoscopic repair was port site infection-2.5%,seroma collection-2.5%,in Lichtenstein’s repair the seroma collection-8.8%,wound infection-3.8% the post operative pain was more with Lichtenstein’s repair than Laparoscopic repair. The duration of stay in hospital was 4 days for Laparoscopic repair and for Lichtenstein’s repair it was 7 days, the recurrence rate Lichtenstein’s repair and nil recurrence with Laparoscopic repair. The return to daily activities was 7 days in Laparoscopic repair, in Lichtenstein’s repair it was 15 days. The patient’s feedback was good with Laparoscopic repair compared to Lichtenstein’s repair. CONCLUSION: The laparoscopic repair of inguinal hernia is associated with faster recovery, less pain, less post operative complications and earlier return to daily activities than Lichtenstein’s inguinal hernia mesh repair.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Inguinal hernias ; Pain ; Laparoscopy ; Mesh repair ; Lichtenstein’s repair.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 07 Aug 2018 07:59
Last Modified: 07 Aug 2018 09:03
URI: http://repository-tnmgrmu.ac.in/id/eprint/9142

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