Study of complications following lichtenstein mesh repair and Bassini’s repair for primary inguinal hernia
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 3
Abstract
Introduction: For hernia, many surgical procedures have been described. Because of the recurrence of hernia, there is no standard treatment for hernia till now. In review of literature, there were recurrences even with the use of mesh. The recurrence rate for inguinal hernias after doing primary repair is about 0.5% - 10% Aims and Objectives: To Study Complications Following Lichtenstein Mesh Repair and Bassini’s Repair for Primary Inguinal Hernia Methodology: This was a Prospective, observational study carried out with approval of Institutional Ethical Committee. This is a comparative study. Two hundred and fifty four patients were included in the study from December 2013 to November 2015. Statistical analysis done by Chi square test has been applied for testing the significance of difference between two proportions. Result: Out of 127 patients undergone mesh repair 4(3.1%) patients developed hematoma at operative site, while it was 6(4.7%) out of 127 patients in case of Bassini’s repair. (p-value is >0.05) In Bassini’s Repair 21 patients developed post operative seroma out of, while, it was 17 out of 127 patients undergone Lichtenstein Mesh Repair. The( p-value is >0.05). 8 patients (6.30%) out of 127 patients undergone Bassini’s repair develop operative site infection, while 5 patients (3.94%) in mesh repair group develop operative site infection (p-value is >0.05). In our study, 12 patients (9.45%) out of 127 patients in Bassini’s repair group developed recurrent hernia, while, 3 patients(2.36%) out of 127 patients in Lichtenstein mesh repair group developed recurrent hernia.(p-value is <0.05). Conclusion: The complications of Repair for Primary Inguinal Hernia were comparable to each other in both the type of Lichtenstein Mesh Repair Bassinis Repair group except the recurrence rate of hernia was significantly higher in Bassini’s repair group as compared to Lichtenstein mesh repair group.
Authors and Affiliations
Anil Shriram Mundhe, Vinamra Singhal
Keywords
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