Comparative Study of Chronic Pain Status after Transinguinal Preperitoneal Technique (TIPP) with Lichtenstein’s method for Inguinal Hernia Repair
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 1
Abstract
Aim: To compare the incidence of chronic pain after Transinguinal preperitoneal (TIPP) mesh repair versus Lichtenstein mesh repair in unilateral inguinal hernia. Methods: Patients presenting with Primary unilateral groin hernia and Age between 18 and 80 years were included in the study while patients with Recurrent hernia, Acute Incarcerated inguinal hernia , History of previous preperitoneal surgery (eg. radical prostatectomy) were excluded from the study. All the cases were divided by Alternate Allocation method. Follow-up was done after 3months and 6 months. Results: A total of 308 patients were randomized to TIPP (154) or Lichtenstein (154) repair. Baseline characteristics were comparable in the two groups. Significantly fewer patients in the TIPP group had continuous Moderate chronic pain (VAS between 3-6) 3 months after surgery; 8 patients(5.19%) versus 23 patients (14.9%) in the Lichtenstein group (P= 0.01 ) and at 6 months after surgery; 4 patients(2.6%) in TIPP versus 18 patients(11.75) in the Lichtenstein group. Comparable patients experienced Mild chronic pain (VAS between 1-2), 38 patients (24.6%) in Lichtenstein group versus 37patients (24%) in TIPP group at 3 months and 11 patients (7.14%) each in Lichtenstein group as well as TIPP group at 6 months post operatively. Conclusion: Fewer patients had continuous Moderate chronic pain at 3 months and 6 months after TIPP mesh inguinal hernia repair compared with Lichtenstein’s repair while incidence of Mild chronic pain was almost comparable. Keywords: Chronic
Authors and Affiliations
Lakshman Agarwal, Laxmi Narayan Meena, Abhishek Krishna, Sumita Jain, Vineet Sharma, Abhay Sikaria, Mohit Jain
A study on the Knowledge, Attitude & Practice of Antibiotic usage and resistance among Under graduate medical students in a rural medical college – questionnaire based study
Antibiotic resistance (ABR) is considered to be a type of drug resistance where some or all populations of a bacterial species survive after exposure to antibiotics. 1 Antibiotics are the most frequently prescribed drugs...
A Comparative Study of Pre Emptive Intra Muscular Phenylephrine And Ephedrine to Prevent Hypotension During Spinal Anaesthesia in Caesarean Section.
Introduction: Hypotension following spinal anaesthesia is the most common complication in patients undergoing lower segment caesarean section (LSCS). Numerous techniques have been used to prevent spinal hypotension inclu...
Primary thyroid like Follicular carcinoma of kidney: An egressing material
Thyroid-like follicular carcinoma of the kidney(TLFCK), is a rare and recently described subtype of renal cell carcinoma (RCC) till now only 27 cases reported in the literature. An extremely rare tumor with low malignant...
Changes in Nitrogen and Protein Content of Cowpea (Vigna unguiculata) due to Geminivirus Infection
Cowpea, Vigna unguiculata is an important legume crop cultivated worldwide as vegetable and pulse crop Cowpea is susceptible to many virus diseases amongst which geminivirus infection is more prevalent in northern India....
An Analysis of Maternal Near Miss Cases at Eden Hospital, Medical College Kolkata
Introduction: Maternal near- miss is defined as ― a woman who nearly died but survived a complication that occurred during pregnancy , childbirth or within 42 days of termination of pregnancy. A maternal death is one of...