Open Preperitoneal Versus Anterior Approach for Recurrent Inguinal Hernia: A Prospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 5
Abstract
Introduction: It was Nyhus and Stoppa who spread a new light in the management of inguinal hernia by showing to the world the appropriateness of preperitoneal repair. Although the laparoscopic approach which came as a ramification of preperitoneal approach is getting popular, Lichtenstein’s anterior approach is still the widely done open surgical method even for recurrent inguinal hernia. In case of recurrent inguinal hernia with the previous anterior approach, resurgery with anterior approach may prove difficult due to dense scar tissue and lead to complications. In such cases, the open preperitoneal approach may prove to be a safe and better alternative. Aim: This study is done to empirically verify the efficacy of open preperitoneal approach in the recurrent inguinal hernia. Materials and Methods: A comparative study was done between 15 cases of anterior approach and 15 cases of preperitoneal approach for recurrent inguinal hernia in Government Rajaji Hospital, Madurai. Following parameters including duration of procedure, acute and chronic pain, Preoperative complications, post-operative complications including seroma, hematoma, testicular atrophy, and duration of stay were compared. Results were submitted for statistical analysis and conclusions drawn. Results: Open preperitoneal approach is better than anterior approach in terms of duration of procedure, acute and chronic pain, and duration of stay, whereas no significant differences were made out with respect to per operative complications and post-operative complications including seroma, hematoma, and testicular atrophy. Open preperitoneal approach should be considered a valid option in the management of recurrent inguinal hernias. Conclusion: Open preperitoneal approach is better than anterior approach in terms of duration of procedure, acute and chronic pain, and duration of stay. There is no difference between anterior approach and preperitoneal approach with respect to per operative complications and post-operative complications.
Authors and Affiliations
V Selvaraj, S Santhi Nirmala, Senthurpandian S, Mohankumar A, Heber Anandan
Keywords
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