A Comparison Between Complications of Surgical Repair of Indirect Inguinal Hernia by Lichtenstein and Read-rives Procedure

Abstract

Inguinal hernia has high prevalence in the worldwide. Two current methods of surgery are Read-Rives and Lichtenstein. The Read-rives method which is Perry peritoneal makes less weak points. Lichtenstein method is easier and also is sub-Apo neuroses. Studying two mentioned methods due to the duration of surgery and inpatient, recurrent hernia and pain is the aim of this study. 86 patients of inguinal indirect and primary hernia were divided into two equal groups of Read-Rives and Lichtenstein randomly. Duration of surgery and inpatient, recurrent hernia and pain were evaluated 48 hours, one month and three months after intervention according to the VAS scale and recurrent of Hernia between 6 and 12 months. The mean of operative time obtained 51.5 and 45.5 minutes (p<0.001), mean of the hospitalization time obtained 1.29 and 1.28 days (p<0.05) for RR and LS groups respectively. Pain decreased in the duration of study but reduction of RR group was more significant than the reduction of LS group (p<0.001). Recurrence of RR group was less than LS group (1.3 against the 4.7%) but there wasn't significant difference (p>0.05). In this minimal study RR method had better performance than LS method in the duration of surgery and pain of patients in three months. Also both methods didn't have significant differences in the time of hospitalization and recurrence of one year for indirect inguinal Hernia.