Journal of Emergency Practice and Trauma

Comparison of Lichtenstein repair and new mesh implant technique in the treatment of indirect inguinal hernia

Document Type : Original Article

Authors

Siamak Mousazadeh 1
Iraj Feizi 1
Khatereh Isazadeh 2

1 Department of Surgery, Faculty of Medicine, Ardabil University of Medical Science, Ardabil, Iran

2 Department of Community Medicine, Faculty of Medicine, Ardabil University of Medical Science, Ardabil, Iran

https://doi.org/10.34172/jept.2020.33
Abstract
Objective: Inguinal hernia surgery is one of the most commonly used surgical procedures in the world. The aim of this study was to compare the recurrence and postoperative complications between a new mesh implant technique in the floor of the inguinal canal with limited tissue repair on it and Liechtenstein technique for inguinal hernia repair.
Methods: In this cross-sectional study, patients were studied by Liechtenstein technique and a new technique of insertion of mesh at the foam of the inguinal canal with a limited tissue repair on it. Data were collected by interview and we assessed the recurrence rate, urinary retention and post-operative pain. Data were analyzed using SPSS software version 24. Chi-square test and t test were used for quantitative data and P value less than 0.05 was considered significant.
Results: The mean age of patients was 49.28 ± 15.84. The mean age and sex ratio between the two groups were similar. Recurrence was seen in 11 (1.83%) of all patients and the difference between the two groups was not significant. Of all patients, 28 (4.7%) had urinary retention after surgery and the difference between the two groups was significant (p=0.01). Of all patients, 91 (15.2%) had pain after three weeks and 29 (4.8%) had pain after six months.
Conclusion: The results showed that the new method had less complications concerning post-operative pain and urinary retention in comparison with the Liechtenstein method as an acceptable method for inguinal hernia repair in future.

Keywords

Relapse
Complications
Liechtenstein technique
Inguinal hernia
Repair
Subjects
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Journal of Emergency Practice and Trauma
Volume 7, Issue 1
January 2021
Pages 28-31

  • Receive Date 27 June 2020
  • Revise Date 03 September 2020
  • Accept Date 07 September 2020

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