A COMPARATIVE STUDY OF GRID-IRON TECHNIQUE AND LICHTENSTEIN TECHNIQUE IN INGUINAL HERNIA REPAIR
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 91
Abstract
BACKGROUND The advances in groin hernia repair in the century following Bassini have shared the primary goal of reducing long-term hernia recurrence rates. The surgeon must have a comprehensive understanding of the anatomy of the groin to properly select and utilise various options for hernia repair. The aim of our study was to compare the Grid-Iron technique and the Lichtenstein method of open hernia repair in terms of operative time, post-operative pain, post-operative complications, hospital stay, return to normal activity and early recurrence rate. MATERIALS AND METHODS This prospective randomised comparative study period was conducted from August 2015 to July 2017 with a sample size of 60 cases in Kalyani Medical College and included patients who reported to outpatient department. Patients were randomised into two groups, one group underwent repair of inguinal hernia by Grid-Iron technique and the other by Lichtenstein technique. RESULTS Those who underwent Grid-Iron technique of repair had less intensity post-operative pain, shorter duration of hospital stay and returned to work earlier; whereas those who had undergone Lichtenstein repair had less post-operative complications and had no recurrence unlike in other group which had two recurrences. CONCLUSION Lichtenstein repair of inguinal hernia is a time-tested method of treatment of inguinal hernia. It is associated with the lowest rate of recurrence among the various methods of repair. Being tension-free it allows the patient to early return to previous state of activity, whereas Grid-Iron technique is considered a more physiological repair having all the advantages of Minimal Access Surgery like of quicker return to work, less post-operative pain and a better cosmetic result.
Authors and Affiliations
Rasbihari Hembram, Bidyut Kumar Biswas
Keywords
Related Articles
- EP ID EP279154
- DOI 10.14260/jemds/2017/1412
- Views 84
- Downloads 0
PARRY ROMBERG SYNDROME- A CASE REPORT
PRESENTATION OF CASE A 35-year-old female presented to the plastic surgery department with progressive atrophy of the right side of the face with onset in childhood. She did not have any neurological complaints. The pati...
STUDY OF SERUM PROTEIN, ALBUMIN, GLOBULIN AND ALBUMIN/GLOBULIN RATIO IN RELATION WITH HIV PATIENTS
BACKGROUND Human Immunodeficiency Virus Infection (HIV) is gradually becoming a threat to our society. It affects our immune system. Proteins are important components of immune system. Notably albumin and globulin are ch...
RADIATION THERAPY– AN EFFECTIVE TOOL FOR ANALGESIA IN METASTATIC BONE DISEASE IN BREAST CANCER
BACKGROUND Radiation therapy plays an important role in the treatment of breast cancer patients with bone metastasis. Approximately 70% of patients are likely to achieve complete pain relief after palliative external bea...
A COMPARATIVE EVALUATION OF TWO TIVA TECHNIQUES FOR DAY CARE SURGICAL PROCEDURES– MIDAZOLAM AND KETAMINE VERSUS FENTANYL AND PROPOFOL
BACKGROUND TIVA has gained popularity recently partly in order to reduce pollution by volatile agents. The present study was designed to evaluate the comparison of Total intravenous anaesthesia (TIVA) techniques: Midazol...
EXTERNAL FIXATOR IMMOBILISED CROSS-LEG FLAP- OUR EXPERIENCE
BACKGROUND Soft tissue defects of distal third leg has always been a reconstructive challenge. Though free flaps are the first choice, cross-leg flap is still the saviour in difficult non-reconstructable situations. This...