Early outcome of Lichtenstein technique for complete variety of inguinal hernia repair in a tertiary care hospital

Background: Inguinal hernia repair is very common in day to day general surgical practice. Result of surgical repair is often satisfactory but recurrences following surgery are troublesome both for the surgeon and the patient. Lichtenstein technique is now the most widely performed technique in groin hernia repair. Objective: The aim of this study was to assess short term outcome of complete variety of inguinal hernia repair by Lichtenstein technique. Methodology: This was a prospective observational study in which 30 complete variety of inguinal hernia repairs were performed by Lichtenstein technique between January 2014 and December 2017 by same surgical team in surgery department, Holy Family Red Crescent Medical College Hospital (HFRCMCH). Patients were scheduled for follow up visits at the end of first week, third month and sixth month after operation in out-patient department. The main outcome measures were postoperative complications, early recurrence, groin pain. Result: In this study age of the patients ranged from 30 years to 78 years, the mean age was 51.93 (±SD 10.12) years. Most of the hernia were of indirect type 18(60%) followed by direct type 9(30%). In indirect type (55.6%) of the hernias was right sided and the rest (44.4%) were left sided. On an average each operation lasted for 1.18 hours and oral feeding started 12.69 hours after the operation, Postoperative mean hospital stay that was 2.27 days. Postoperative complications were 2(6.7%) had a prolonged recovery and presented with abdominal distention after operation and 3(10%) patients developed postoperative urinary retention. Scrotal haematoma formation was observed in 2(6.7%) cases and other post-operative complications were local haematoma or seroma formation in incision site, periincisional skin echymosis, postoperative pyrexia, superficial wound infection and post-operative pain were found in 1 (3.3%) cases. Regarding outcome no recurrence or mesh rejection or mesh infection were observed within short time postoperative follow up period. Conclusion: In this study no recurrence or mesh rejection or mesh infection were observed within short time postoperative follow up period and patient's compliance was good with minimum morbidity. Therefore, Lichtenstein's technique of inguinal hernia repair considered as a safe and effective procedure. Northern International Medical College Journal Vol.10 (2) Jan 2019: 389-392

Lichtenstein Tension Free Mesh Repair in Inguinal Hernia: Our Six Years Experience

Inguinal hernias are common and the results of surgical repair are often satisfactory but recurrence rate are variable. To prevent recurrences prosthetic materials have been increasingly used in hernia repair. In this study Lichtenstein technique of tension free mesh repair for inguinal hernia is done in 275 cases in the period from January 2005 to Deceber2010 and outcome is measured in terms of early and late morbidity especially recurrences. serorna developed in 10 patients (3.6%) and haematoma and transient testicular swelling developed in 8 patients (2.9%) and 21 patients (7.6%) respectively. Only 3 patients (1.08%) developed wound infection and 2 patients (.72%) developed recurrences of hernia. Post operative neuralgia developed in 7 cases (2.5%). During follow up period no mesh rejection and discharging wound sinus related to presence of foreign body is observed in the study. So Lichtenstein tension free repair of inguinal hernia is. safe and effective method where recurrence rate is reasonably low. Journal of Surgical Sciences (2013) Vol. 17 (1) : 3-6

The Role of the Composite and Biologic Meshes in the Trocar Site Hernia Repair Following Laparoscopic Surgery

The increasing proportion of laparoscopic interventions in the surgical centers has, also, determined an increased incidence of specific complications, such as trocar hernia. Nowadays, there is no unanimously agreed concensus regarding the optimal closure technique of the trocar incision, wether it should include the suture of the aponeurosis or not at the 10 mm ports. There is, also, no consensus regarding the proper surgical technique for the trocar hernia repair- alloplastic or tissue repair technique.The purpose of the study is to present our experience on the alloplastic repair of the trocar hernias. It is a retrospective study that analyzes the results obtained by our clinicalteam regarding the alloplastic repair of the trocar hernias, over a five-year period, between January 2011 and December 2015. The recurrence and the occurrence rates of different complications (seroma, neuroma with postoperative pain, parietal infiltration, infections and mesh rejection), depending on the type of mesh used for the surgical repair,are studied.

Evaluations of Implanted Polypropylene Mesh After Surgical Removal Due to Eventration or Mesh Rejection

The Gold standard in parietal wall hernias is represented by mesh implantation. Both wall repair and hernia-associated complications are related to the anatomic location and biomechanics of the structures involved specificity. This work reports the results of the intraoperative and postoperative evaluation of synthetic polypropylene mesh integration. The mesh and the surrounding tissue, previously removed and preserved, have been analyzed macroscopically and at microscopic level. The tissue invaded the pores of the mesh and coated the monofilaments. The right balance between the mesh type and tissular response is hard to evaluate preoperatively, due to individual variations, but we can upgrade the criteria used to personalize the treatment for the best possible outcome.

Meshplasty treatment for stress urinary: a prospective clinical trial

Background: Stress urinary incontinence is when there is involuntary loss of urine due to increase intra-abdominal and intravesical pressure.Methods: This is a prospective clinical trial which was conducted at a Municipal General Hospital in Mumbai in the Department of Obstetrics and Gynecology for a period of 10 years from January 2005 to December 2015.The study group consisted of 518 cases with clinically demonstrable SUI with or without pelvic floor defects. Meshplasty was performed as a choice of surgery for SUI correction.Results: The study group was divided based on age(25-40,41-55,>55),parity(I,II-III,>IV), symptoms (SUI, Dysfunctional uterine bleeding, prolapse), type of anaesthesia (local, general/spinal anaesthesia), surgery performed (meshplasty alone, meshplasty with cystorectocele repair, meshplasty with vaginal hysterectomy (VH), meshplasty with VH with cystorectocele repair, meshplasty with VH with cystorectocele repair with sacrospinous fixation), complications (mesh rejection, urine retention).Conclusions: Meshplasty is a simple inexpensive procedure with short learning curve. This has a 94% success rate.

Tension Free Mesh Repair is an Effective Treatment of Inguinal Hernia: An Observational Study

Inguinal hernias are common and the results of surgical repair are often satisfactory but recurrence rate are variable. To prevent recurrences prosthetic materials have been increasingly used in hernia repair. In this study Lichtenstein technique of tension free mesh repair for inguinal hernia done in 140 cases in the period from July 2010 to June 2012 and outcome measured in terms of early and late morbidity especially recurrences. Seroma developed in 08 patients (5.6%) and haematoma and transient testicular swelling developed in 06 patients (4.2%) and 15 patients (10.6%) respectively. Only 2 patients (1.4%) developed wound infection and 01 patients (.71%) developed recurrences of hernia. Post operative neuralgia developed in 05 cases (3.5%). During follow up period no mesh rejection and discharging wound sinus related to presence of foreign body is observed in the study. So Lichtenstein tension free repair of inguinal hernia is safe and effective method where recurrence rate is reasonably low. DOI: http://dx.doi.org/10.3329/medtoday.v25i1.15900 Medicine Today 2013 Vol.25(1): 6-8