A COMPARATIVE STUDY BETWEEN CONVENTIONAL HERNIOPLASTY AND LAPAROSCOPIC ASSISTED HERNIOPLASTY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 17
Abstract
BACKGROUND The groin is one of the natural weak points4 of the abdominal wall. The earliest record of inguinal hernia dates back to approx. 1500 BC. Many types of operations were done before, but it was only in the 19th century that the inguinal canal’s anatomy was well defined and the greatest contribution towards hernia surgery was by surgeon Edoardo Bassini,12 as he was the first surgeon to maintain the functional anatomy of the inguinal canal post-surgery. His method was associated with the lowest mortality and recurrence rates up till then. Therefore, he is called as “father of modern herniorrhaphy.” Shouldice described multilayered repair in 1953, which was a notable improvement to Bassini’s repair method. The recurrence rates in Shouldice repair was done in Shouldice hospital, Toronto, it was less than 1%. Berliner and Lichtenstein13 have developed simpler and equally effective methods and are known as modern pioneers of hernia surgery. Aims and Objectives- This study aims at comparing all aspects of laparoscopic hernioplasty with conventional hernioplasty. 19 1. To compare the early complication rates in LAH and conventional hernioplasty. 2. To compare the postoperative mobilisation, duration of hospital stay, and return to work in LAH and conventional hernioplasty. MATERIALS AND METHODS The present study is a non-randomised controlled trial of fifty cases of unilateral inguinal hernia admitted in MY Hospital during the study period from October 2016 to October 2017. I) 50 cases were selected on the basis of convenience sampling method; II) Both direct and indirect unilateral inguinal hernias were selected; iii) After pre-operative preparation, patients were randomly allocated to two groups consisting 25 in each. Group open (Lichtenstein’s) and laparoscopic (TEP) repair. RESULTS In our study, the youngest participant was 20 years old and the oldest was 65 years old. All participants were men. The youngest patient who underwent Lichtenstein’s repair was 26 years old and the oldest was 62 years old. The youngest patient who underwent TEP repair was 23 and the oldest was 60. CONCLUSION The gold standard for any procedure should provide a safe, cost effective and long-lasting repair with minimal morbidity and early ambulation. Lichtenstein repair provides a tension free repair, but a larger incision is used.
Authors and Affiliations
Sunil Narang, Sumit Shukla, Pradeep Shivsharan
Keywords
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- EP ID EP415191
- DOI 10.14260/jemds/2018/473
- Views 90
- Downloads 0
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