Comparative study of polypropylene hernia system against lichtenstein for hernia repair with respect to surgical parameters
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2016, Vol 20, Issue 3
Abstract
Introduction: Inguinal hernia repair is the most common general surgery procedure, and several hundred thousand are performed every year in the United States. Countless studies have been done in attempts to improve outcomes, and the procedure has evolved greatly, especially over the last few decades. Aims and Objectives: To study Polypropylene hernia system against Lichtenstein for hernia repair with respect to surgical parameters. Methodology: This was a prospective study of the hernia patients at tertiary health care center during the year January 2013 to January 2014. Total 50 Patients of all age and sex, who were diagnosed as inguinal hernia were included into study. Those who didn’t give consent and were having serious illness, immuno-compromised state were excluded from the study. The selected patients were randomly included into 2 groups based upon material used for the inguinal hernia repair Lichtenstein for hernia repair into group A and the Polypropylene hernia system into Group B by a computer generated random numbers. The statistical analysis done by un-paired t-test. Result: In our study we have observed that Majority of the of the patients were in the age group of >50 – 46.00% followed by 40-50- 24%, 30-40-16.00%, 20-30-10.00%, 10-20- 2 % and in 1-10 were 2.00%. Majority of the patients were Male i.e. 72.00% followed by Female 28.00%. Average Duration of Surgery was 49 ± 8.4 Min. Group A and Group B was 53 ± 7.8 Min. which is comparable to each other (P>0.05). Pain by VAS on Day 1 was 4.1 ± 2.2 Group A and 5.2± 2.9in Group B which is significant (P<0.05) and on Day 5 the VAS score was 3.5 ±1.1 in Group A 4.2 ± 2.1 in Group B which is significant (P<0.05). Seroma Size on Day1 was 4.9 ± 2.2 ml in Group A while 3.3 ± 1.1 ml in Group B which is significant (P< 0.05) while on Day 5 the size was 8.6 ± 3.2 ml Group A and 4.5± 1.5ml in Group B which is significant (P<0.05). Conclusion: In our study it can be concluded that the Lichtenstein type of repair found to be superior to Polypropylene suture for the hernia repair in view of post- operative pain and seroma formation as the foreign body reaction is less to Polyester Mesh.
Authors and Affiliations
P G Salve, G L Anmod, Aruna Dahiphale
Keywords
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