A comparative study of various open methods of inguinal hernia repair in our hospital

DR.PREETHI S P; DR Manjunath Shenoy

Volume : V, Issue : XI, November - 2015

A comparative study of various open methods of inguinal hernia repair in our hospital

Dr. Preethi S P, Dr Manjunath Shenoy

Abstract :

Background: prospective study of 100 cases of inguinal hernias which were treated by four different surgeries viz., The Modified Bassini, The Shouldice, The Lichtenstein and The Mesh Plug techniques. The study was conducted with an objective to compare the effectiveness of the four procedures and complications if any. Methods: 100 cases of inguinal hernia admitted in JSS Medical College Teaching Hospital, Mysore were selected on the basis of the nonprobability (purposive) sampling method. Results: In the post operative period, severe pain was complained in 7 cases of Shouldice repair and 1 case of Modified Bassini while 7 cases of Lichtenstein and 10 cases of Mesh plug had pain–free postoperative period. Post–operative wound infection developed in 2 cases of Modified Bassini, 2 in Shouldice and 1 in Lichtenstein repair. Haematoma at the operated site was found in 2 cases of shouldice and 1 in Mesh Plug repair. The duration of hospitalization was 1–3 days in 1 case of Lichtenstein and 6 cases of Mesh plug and was >9 days in 1 case of Modified Bassini, 3 cases of Shouldice and 3 cases of Lichtenstein repair while in the rest it ranged from 4–9 days. In the study period no recurrence of hernia was recorded. Conclusion:The patients who underwent tissue repairs, especially Shouldice complained of higher intensity of pain which could probably be attributed to the extensive dissection involved. The postoperative haematoma and infection rates were insignificant.