Inguinal Hernia Repairs: Rutkow–Robbins, Lichtenstein and Gilbert Double Layer Graft Methods
Journal Title: International Journal of Interdisciplinary and Multidisciplinary Studies (IJIMS) - Year 2016, Vol 3, Issue 4
Abstract
Hernia repair is the most common elective procedure in general surgeryIn terms of recurrence and complication rates, tension-free repairs are the most commonly preferred operative techniques. In the present study, we aimed to compare the Lichtenstein technique with Rutkow–Robbins and Gilbert double layer techniques in inguinal hernia repair. Present study was conducted on 120 patients admitted to the General Surgery Department of NIMS Medical College & Hospital. The patients were randomly allocated to three groups (using table of random numbers): Group A: Lichtenstein operation , Group B: Rutkow–Robbins and ; Group C: Gilbert double layer. The groups were compared with regard to operation length, post-operative pain, early and late complications, recurrence rates, length of hospital stay and time required to return to work. None of the three methods showed a statistically significant difference regarding age, BMI, hospitalization time and return to normal activities (p > 0.05). There was a statistically significant difference between the groups regarding operation lengths (p < 0.05). No significant difference was noted between the groups on the basis of early or late complications (p> 0.05). VAS analysis showed no statistically significant difference between any of the groups at Day 1, 7, and 30 (p = 0.14, p = 0.7, p = 0.56). Lichtenstein operation is more advantageous than others due to its lesser hospitalization time, lower complication rate and early resumption of daily activities. Therefore, Lichtenstein technique is recognized as the most advantageous method in inguinal hernia repairs.
Authors and Affiliations
Ashok Kumar Gupta, Saahil Yadav, Rituraj
Keywords
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