Background: Inguinal hernia repair is the most frequently performed operation in general surgery. The standard method for inguinal hernia repair had changed little over a hundred years.Methods: Present study was conducted on 60 patients having inguinal hernia and were operated by two different methods i.e. Lichtenstein tension free inguinal hernia repair (Group A) and laparoscopic hernia repair (Group B). Aim of the study conducted was to compare the various observations and complications in post-operative period.Results: There was no statistically significant difference in the age group, side and type of hernia in the two groups. Laparoscopic repair was a longer procedure than Lichtenstein inguinal hernia repair and it was statistically significant (p<0.05). Postoperatively urinary retention was the most common complication in Group A. Other complications were genital oedema (13.33%), haematoma (13.33%), seroma (13.33%) and wound infection (6.67%) which led to increased post-operative hospital stay. In Group B, pneumoscrotum was the most common complication. Other complications included subcutaneous emphysema (6.67%) and seroma (6.67%).Conclusions: Lichtenstein tension free inguinal hernia repair is safe, efficient and cheaper procedure with no extra equipment being required while Laparoscopic repair takes more time, laparoscopic equipment and training in minimal access surgery.
Introduction: Inguinal hernia repair is the most common procedure that general surgeons undertake all over the world. The increasing popularity of laparoscopic inguinal hernia repair is, in part, due to the clinical potentials with less post operative pain and a shorter duration of convalescence compared with an open hernia repair technique. The study focuses to compare the operative time, postoperative pain along with requirements of analgesics. Material and methods: The present study was conducted on 60 patients admitted with diagnosis of inguinal hernia over the period of one and half years (Jan 2014-June 2015) in the Department of General Surgery, MMIMSR, MULLANA (DISTT AMBALA), Haryana, India. These patients were divided at random by lottery system in two groups of 30 patients each i.e. Group A and Group B. Group A was treated by Tension Free Hernia Repair by Lichtenstein technique. Group B was treated by Laparoscopic technique of hernia repair. Results: VAS score in the Lichtenstein inguinal hernia repair group ranged from 1 to 8 for which the mean was 3.80 ±1.86 during the 1 st 12 hours whereas VAS score in the laparoscopic repair group ranged from 1 to 7 whose mean was 2.87±1.78. Analgesic tablet was given to the patients of both the group post-operative day 2 onwards as per requirement after 24 hours of operation. The mean analgesic tablet consumed was 5.27±1.72 in Lichtenstein open mesh repair and 3.53±1.93 in laparoscopic repair which was statistically significant. Conclusion: Laparoscopic procedure showed clear advantages such as less postoperative and chronic pain, lower incidence of use of pain medication
Adult intussusception occurs infrequently and differs from childhood intussusception in its presentation, aetiology, and treatment. Diagnosis can be delayed because of its longstanding, intermittent, and non-specific symptoms and most cases are diagnosed at emergency surgery. Use of computed tomography in the evaluation of patients with abdominal pain, the condition can be diagnosed more reliably. Treatment entails simple bowel resection in most cases. Reduction of the intussusception before resection is controversial. Laparoscopic management has been reported to be a safe and feasible option regardless of the etiology. This paper presents the diagnosis and management of two cases of adult intussusception, their presentation and management.
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