A STUDY BETWEEN LIECHTENSTEIN HERNIA REPAIR AND MODIFIED LIECHTENSTEIN HERNIA REPAIR- A PROSPECTIVE STUDY
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2019, Vol 6, Issue 29
Abstract
BACKGROUND Hernia is the abnormal protrusion of a content/viscus through a defect in its wall/cavity that contains it. The word “Hernia” is derived from the Latin word which means to rupture. It is the most common surgery done all over the world due to its increased incidence and efficient treatment. As of today, 8 to 10 lakh cases are operated every year. But, Liechtenstein tension free mesh repair though is the gold standard, has complications like chronic pain, wound infection, prolonged surgery and abnormal sperm counts; so in recent years, due both to treatment and legal implications, the interest in evaluating these complications has increased. We wanted to determine as to whether the various modifications in surgical treatment reserved for identification and preservation of ilioinguinal, iliohypogastric, and genital branch of the genitofemoral nerves and modification of mesh and placement of cord, during Liechtenstein hernia mesh repair, is effective in reducing complications like chronic pain, wound infection, prolonged surgery and abnormal sperm counts. METHODS A prospective study involving 80 cases of hernioplasty was conducted. The patients were given questionnaires. The study evaluated for the results at 1 st and 3 rd months. RESULTS Overall, out of 40 patients treated under Liechtenstein hernioplasty, 20 had wound infection with chronic pain and 4 had abnormal sperm counts with overall increased duration of procedure. Out of 40 patients treated with the modified Liechtenstein hernioplasty, only 8 had minimal wound infection with pain and sperm counts found to be normal. CONCLUSIONS The present findings indicate that modified Liechtenstein procedure has increased effectiveness by reducing the complications and it has an easier learning curve.
Authors and Affiliations
Dorai D. , Chandrasekhar P. G.
Keywords
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- EP ID EP670346
- DOI 10.18410/jebmh/2019/399
- Views 77
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