INGUINAL HERNIA SURGERY UNDER LOCAL ANAESTHESIA, AS DAY CARE SURGERY AND COMPARISON AMONG THREE GROUP OF PATIENTS CLASSIFIED ACCORDING TO TYPE OF MESH USED
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 45
Abstract
[b]BACKGROUND[/b]: Inguinal hernia repair is one of the most commonly performed operations worldwide. This study was done to evaluate, local anesthesia as choice of procedure for inguinal hernia as day care surgery including both regular & comorbidity associated patients, to know which mesh is suitable smallpore (Heavy weight) or largepore (Light weight) and to know if use of absorbable suture is better than non-absorbable suture for fixation of mesh. [b]METHODS[/b]: We prospectively studied 69 patients with a primary unilateral inguinal hernia. The study group was randomized to Lichtenstein repair after taking full informed consent. Pain was assessed by visual analogue scale, Quality of life was assessed by responses to a health questionnaire administered to post-operative patients. [b]RESULTS[/b]: The highest contraction rate was found in polypropylene small pore mesh (28.76%), followed by polypropylene large pore mesh (23.9%) and the least contraction seen in knitted composite mesh (17.2%). Quality of life was assessed at 1 month and 3 month have shown significant difference among three groups. [b]CONCLUSION[/b]: Most of the inguinal hernia surgery can be carried out smoothly in local anesthesia, as day care procedure. It is choice of procedure also in patients with comorbidity. Use of absorbable suture for Lichtenstein hernia repair did not affect recurrence rate. Quality of life is better with knitted composite group, than pp large pore group, than Polypropylene small pore mesh.
Authors and Affiliations
Arvind Shukla, Arif Ansari, Mathur R. K. , Anupam
Keywords
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- EP ID EP143488
- DOI 10.14260/jemds/2015/1124
- Views 99
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