Study of post - operative pain 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: The history of hernia is as old as the history of surgery. Inguinal hernias are the commonest of all hernias, surgery is the definitive treatment and hernia repair is the most commonly performed general surgical procedure in clinical practice. Despite high frequency of this procedure, very few have ideal results Aims and Objectives: To study Post - Operative Pain Following Lichtenstein Mesh Repair and Bassinis 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: On post- operative day-1, operative site pain present in 18 patients (14.17%) underwent Bassini’s repair, while, 14 patients (11.02%) in Lichtenstein mesh repair group, p-value is >0.05, thus suggesting no significant difference. On post-operative day-7, 13 patients undergone Bassini’s repair have operative site pain, while, 4 patients in Lichtenstein mesh repair group have pain. The p-value is <0.05, suggesting that post-operative surgical site pain is significantly low with mesh repair compared to Bassini’s repair Persistent operative site pain after 90days of surgery is found in 7 patients(5.51%) in Bassini’s repair group, while 1 patient (0.79%) in Lichtenstein mesh repair group. The p-value is <0.05, suggesting that incidence of persistent operative site pain is significantly low in mesh repair group than Bassini’s repair group. Conclusion: Incidence of post operative pain at day-7 and day-90 is significantly less with Lichtenstein Mesh Repair, than Bassini’s non- mesh Repair so as far the pain perception is concerned the Lichtenstein Mesh Repair is superior to Bassini’s non- mesh Repair.
Authors and Affiliations
Anil Shriram Mundhe, Vinamra Singhal
Keywords
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