Comparison of Lichtenstein Repair and Mesh Plug Repair Methods in The Treatment of Indirect Inguinal Hernia

Abstract

Objective: The lifetime risk to develop an inguinal hernia is 27%-43% for men and 3%-6% for women. Methods of hernia repair currently involve prosthetic mesh applications. The aim of this study is to compare the Lichtenstein repair and Mesh-plug repair methods in the surgical treatment of indirect inguinal hernias and to identify which of these two techniques is superior regarding its conferred advantages.Materials and Methods: In this study, a total of 102 patients who were diagnosed with indirect inguinal hernia between the years 2014 and 2015 without a previous operation were analyzed. Patients undergoing Lichtenstein repair and Mesh-plug repair were compared, especially during operation time, hospital stay, postoperative pain and other aspects.Results: The mean age of patients was 28.7 years (19-73). The mean duration of operations and hospitalizations was significantly shorter in patients who had undergone mesh-plug repair. Inguinal pain in the operation area on postoperative day one, two weeks and six months was significantly less in patients who had undergone mesh-plug repair. Patients were followed-up for two years.Conclusion: We concluded that mesh-plug repair was superior to Lichtenstein repair regarding postoperative pain, quality of life of the patient, shorter duration of operation, and duration of hospital stay although the two methods were similar regarding both recurrence and complication rates. Considering this information, we suggest that mesh-plug repair can be used safely for the treatment of indirect inguinal hernias.

An observational study to compare the outcomes of onlay technique with combined onlay-plug technique of mesh hernioplasty in inguinal hernia

“…27 In our study, no recurrence was observed. Our finding was consistent with that of the studies conducted by Rana et al and Destek et al 10,28 Limitations of the study…”

One inch incision-mesh plug repair versus laparoscopic trans-abdominal preperitoneal repair of the primary indirect inguinal hernia: a prospective comparative study

“…30 Postoperative pain is multifactorial with many risk factors. 14 In open techniques, the pain is due to extensive dissection and injury or entrapment of groin nerves; whereas in laparoscopic techniques, it is most likely caused by parietal peritoneum dissection. 7 In the present study, the duration of acute postoperative pain was shorter (the mean was 3.29±1.81 days) and less severe in group-A than that of group-B (the mean was 3.71±2.49 days), the mean VAS of the group-A on the first postoperative day and at the end of the first postoperative week; was 4.0±1.14 and 0.17±0.17 respectively, and that of group-B was 4.79±1.32 and 0.32±0.95 respectively.…”

“…13 It requires minimal dissection and insertion of a mesh in the defect of the hernia. 14 It is relatively simple with shorter operative time and optimal outcomes in comparison to other techniques. 13 Complications of MPR involve mesh shrinkage, migration and chronic inguinal pain.…”

The expression level of S100A4 protein affects the migration activity of breast cancer cells

“…Наши результаты, характеризующие свойства клеток РМЖ, согласуются с литературными данными, полученными при обследовании пациентов с раком прямой кишки. Экспрессия белка S100A4 в клетке при раке толстой кишки может быть показателем прогрессирования опухоли и метастазов в лимфатические узлы и может быть полезна для прогнозирования общей выживаемости пациентов с раком толстой кишки [10].…”