COMPARATIVE STUDY OF LICHTENSTEIN MESH REPAIR AND PROLENE HERNIA SYSTEM IN THE MANAGEMENT OF INGUINAL HERNIA

Dr ASHOK Y. KSHIRSAGAR; Dr AJAY KUMAR AGARWAL

Volume : VIII, Issue : VII, July - 2019

COMPARATIVE STUDY OF LICHTENSTEIN MESH REPAIR AND PROLENE HERNIA SYSTEM IN THE MANAGEMENT OF INGUINAL HERNIA

Dr Ashok Y. Kshirsagar, Dr Ajay Kumar Agarwal

Abstract :

Background: Inguinal hernia repairs are commonly performed operations. Recently, Neumayer et al examined the gold standard Lichtenstein on-lay mesh repair (LMR) against laparoscopic inguinal hernia repair and showed that the recurrence rates are higher for laparoscopic mesh repairs when compared with the open on-lay mesh repair(laparoscopic 10.1% versus open 4.9%). In 1998, the prolene hernia system (PHS) mesh, consisting of an on-lay and an underlay patch attached with a connector, was introduced as an option for tension-free open repair of inguinal hernia combining the benefits of a posterior and anterior repair from an open approach. Our objective was to evaluate the PHS mesh repair versus the LMR for inguinal hernias. Methods: PHS mesh hernia repairs and LMR repairs from June 2007 to MAY 2009 were included .Demographic data such as age, gender, occupation; smoking, symptoms as well as co-morbid conditions such as chronic obstructive pulmonary disease, prostatism and ascites were collected. Duration of surgery was also noted .complications such as pain on days 1, 7, 14, seroma, hematoma, orchitis and wound infection were recorded. Duration of hospital stays was recorded. Chronic groin pain and recurrences in each group were also recorded. A student t test and chi-square analysis was used for statistical analysis. Results: Fifty six patients were included. (PHS mesh 28, LMR28). The follow-up for the study was between 3-18 months. There was no significant difference with regards to age, gender, or co-morbidities between the 2 groups. The duration of surgery was significantly lower in PHS group. Overall, there was a trend towards decreased hospital stay in PHS group. No recurrences noted in either group. Conclusion: Our study shows, reduced operation time and duration of hospital stay in PHS mesh compared with the gold standard Lichtenstein on-lay mesh for inguinal hernias. The incidence of chronic groin pain is also lesser in PHS group. No recurrence noted in either group