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The Comparison of Lichtenstein Procedure with and without Mesh-Fixation for Inguinal Hernia Repair


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1 Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey
 

Aim: Although inguinal hernia repair is the most frequently performed surgical procedure in the world, the best repairmethod has not gained acceptance yet. The ideal repairmust be safe, simple, and easy to performand require minimal dissection which provides enough exploration, maintain patient's comfort in the early stage, and also be cost-effective, reducing operation costs, labor loss, hospital stay, and recurrence. Materials and Methods: There were eighty-five patients between the ages of 18 and 75, diagnosed with inguinal hernia in our clinic. Lichtenstein procedure for hernia repair was performed under spinal anesthesia in all patients. Fortytwo patients had the standard procedure and, in 43 patients, the polypropylene mesh was used without fixation. All patients were examined and questioned on the 7th day of the operation in terms of pain, scrotal edema, and the presence of seroma and later on in the 6th postoperative month in terms of paresthesia, neuropraxia, and recurrence by a single physician. Results: Operative time and pain scores in the nonfixation group were significantly lower, without any increase in rates of recurrence. Conclusion: Based on these findings, in Lichtenstein hernia repair method, nonfixation technique can be used safely with better results.
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  • The Comparison of Lichtenstein Procedure with and without Mesh-Fixation for Inguinal Hernia Repair

Abstract Views: 76  |  PDF Views: 0

Authors

Feyzullah Ersoz
Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey
Serdar Culcu
Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey
Yigit Duzkoylu
Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey
Hasan Bektas
Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey
Serkan Sari
Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey
Soykan Arikan
Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey
Mehmet Mehdi Deniz
Istanbul Education and Research Hospital, General Surgery Clinic, Istanbul, Turkey

Abstract


Aim: Although inguinal hernia repair is the most frequently performed surgical procedure in the world, the best repairmethod has not gained acceptance yet. The ideal repairmust be safe, simple, and easy to performand require minimal dissection which provides enough exploration, maintain patient's comfort in the early stage, and also be cost-effective, reducing operation costs, labor loss, hospital stay, and recurrence. Materials and Methods: There were eighty-five patients between the ages of 18 and 75, diagnosed with inguinal hernia in our clinic. Lichtenstein procedure for hernia repair was performed under spinal anesthesia in all patients. Fortytwo patients had the standard procedure and, in 43 patients, the polypropylene mesh was used without fixation. All patients were examined and questioned on the 7th day of the operation in terms of pain, scrotal edema, and the presence of seroma and later on in the 6th postoperative month in terms of paresthesia, neuropraxia, and recurrence by a single physician. Results: Operative time and pain scores in the nonfixation group were significantly lower, without any increase in rates of recurrence. Conclusion: Based on these findings, in Lichtenstein hernia repair method, nonfixation technique can be used safely with better results.