Chronic groin pain following lichtenstein mesh hernioplasty for inguinal hernia. Is it a myth?

Jaiswal, Lt Col Shyam S.; Chaudhry, Brig Rajan; Agrawal, Maj Amit

doi:10.1007/s12262-009-0022-7

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…In this study, the incidence of chronic groin pain is 2%. In a study conducted in Armed Force Medical College in 2010 by S.S. Jaiswal, R. Chaudhry, A. Agarwal[ 11 ] concluded that meticulous identification and preservation of the nerves, using absorbable suture for fixation and minimum number of sutures to fix a mesh contributed a low incidence of chronic groin pain. In our study, VAS score was checked at 1-week, 1-month, 3 months, 6 months, 12 months, and 24 months.…”

Section: Discussionmentioning

confidence: 99%

Three stitch hernioplasty: A novel technique for beginners

2015

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Objective:To analyze mesh fixation with minimum sutures and postoperative complications.Study Design:Prospective study.Place and Duration of Study:Department of General Surgery, Thanjavur Medical College and Hospital, Tamil Nadu, from July 2010 to June 2012.Materials and Methods:All inguinal hernia patients, who fulfilled the sample selection criteria, were admitted and planned for surgery. The prolene mesh is fashioned as in Lichtenstein's repair, placed and fixed only by three prolene stitches. The first stitch is made in the periosteum of pubic tubercle. The second stitch is taken in the inguinal ligament (1.5 cm lateral to the pubic tubercle) and the third stitch is from the medial most part of the conjoint tendon, that is, the mesh is fixed in the medial aspect alone.Results:Majority of the patients fall between the age group of 40 and 60 (72%) years and all are male patients. Of the total cases, 50% were right sided, 25% were left sided, and 25% were bilateral. Of the postoperative complications, 12% had seroma, 4% had hematoma, 2% developed surgical site infection, 2% developed chronic groin pain, 1% presented with recurrence, and none developed foreign body sinus.Conclusion:The incidence of long-term complications of three stitch hernioplasty are comparable to that of the other standard, tension-free open hernia repair as well as other laparoscopic procedures. Moreover, the three stitch hernioplasty method is a simple method, easy for the beginners to adopt, has less foreign body reaction, less time consuming, causes less tissue trauma, and lesser chance for vascular injury.

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Section: Discussionmentioning

confidence: 99%

Three stitch hernioplasty: A novel technique for beginners

2015

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Mesh size in Lichtenstein repair: a systematic review and meta-analysis to determine the importance of mesh size

Seker

Öztuna

Kulaçoğlu

et al. 2012

Hernia

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This systematic review demonstrates that the size of the mesh used in Lichtenstein hernia repair is rarely discussed in clinical studies. Papers that discuss mesh size appear to reflect a trend to comply with the latest recommendations to use larger mesh. Standard heavy meshes decrease the recurrence in hernia repair. Even though there is no evidence, it seems that large meshes decrease recurrence rates.

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A Prospective Clinical Study on the Impact of Occupation on Inguinodynia after Inguinal Hernia Repair

Vijayan¹,

Potdar²,

Borle³

et al. 2018

Surgery Curr Res

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Inguinodynia is defined as groin pain at or beyond 3 months following inguinal hernia repair. There is limited literature on this problem from India. Studies have investigated role of different risk factors for inguinodynia like mesh, inguinal nerves identification during surgery, technique of repair etc. However, to our knowledge there is no study on the impact of occupation on inguinodynia.Objective: This study attempts to study the role of occupation in incidence of inguinodynia following surgery.Methods: A prospective study was conducted at a secondary care hospital in Mumbai. 152 adult patients with uncomplicated inguinal hernias who underwent repair by open or laparoscopic technique were enrolled over 2 years. Patients were preoperatively questioned regarding the nature of their occupation and presence of pain associated with inguinal hernia, then divided into five occupation classes depending upon amount of weight lifting involved in their occupation. Postoperatively, they were followed up for 6 months and assessed for inguinodynia by a structured questionnaire. Incidence of inguinodynia was then compared between the different occupation classes.Results: The incidence of inguinodynia at the end of 3rd and 6th month follow-up was 12.10% (19/157 surgeries) and 10.19% (16/157 surgeries) respectively. Incidence of inguinodynia increased from 8.8% for a sedentary worker to 38.5% for an extremely heavyweight worker at 6 months follow-up. By Pearson's Chi-Square test, the p-value was 0.003 which is statistically significant. Conclusion:Thus, the incidence of inguinodynia increased as amount of weight lifting at work increased, suggesting a role of occupation in inguinodynia.

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Chronic groin pain following lichtenstein mesh hernioplasty for inguinal hernia. Is it a myth?

Cited by 3 publications

References 21 publications

Three stitch hernioplasty: A novel technique for beginners

Three stitch hernioplasty: A novel technique for beginners

Mesh size in Lichtenstein repair: a systematic review and meta-analysis to determine the importance of mesh size

A Prospective Clinical Study on the Impact of Occupation on Inguinodynia after Inguinal Hernia Repair

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