Title: A Study of Inguinal Hernia Repair in 178 Patients by Lichtenstein Technique in Northwestern Medical School of Bihar
Authors: Dr Lalan Kumar, Dr Manish, Dr A.P. Singh
DOI: https://dx.doi.org/10.18535/jmscr/v5i5.154
Abstract
Background: The main aim of the surgeon in inguinal hernia surgery is to lower the recurrence rate while dealing with the defect in inguinal canal. Lichtenstein technique has opened a new era in such repairs. In our study we have evaluated 178 patients who have undergone mesh repair in inguinal hernias by Lichtenstein technique.
Material and Methods: The study was done prospectively from May 2015 to March 2017. Surgery related complications, operative time, hospital stay and return to routine activities were recorded. All the patients with age more than 15 years were included in this study; however patients with medical diseases like diabetes mellitus and chronic obstructive pulmonary disease were not included. Also patients with complications of hernia having features of obstruction or strangulation were also excluded from this study.
Results: Out of 178 patients, 173 patients (97.19%) were male and 05 patients (2.81%) were female. Indirect inguinal hernia was present in 96 patients (53.93%), direct inguinal hernia in 71 (39.89%) and pantaloon hernia in 11 patients (6.18%). The incidence of unilateral hernia was 75.21% whereas bilateral hernia was observed only in 24.78% patients. Postoperative seroma and haematoma was observed in 3 and 1 patient respectively which were drained successfully. None of our patients encountered postoperative neuralgia, wound infection or recurrence till date.
Conclusion: Lichtenstein technique of inguinal hernia repair in adults is still considered as the method of choice by many surgeons around the world in lieu of its simplicity in performing the procedure, minimum postoperative complications, early recovery with return to normal activities, less hospital stay and very low recurrence rate.
Keywords: Lichtenstein technique, Inguinal Hernia Repair, Recurrence.
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