Early results with the Lichtenstein tension-free hernia repair

Corlett, M. P.; Pollock, D.; Marshall, Jayne; Hinson, E. L.; An, Ke; Brown, J. H.; Khaira, H.S.

doi:10.1002/bjs.1800820347

Cited by 11 publications

(1 citation statement)

References 8 publications

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“…3 Similar findings were observed in other studies. [4][5][6] Barth R J et al studied the cases and found that the median operative time differed significantly: 80 minutes for a mesh repair versus 95 minutes for a Shouldice repair (p = 0.01; ranges for mesh, 70 to 96 minutes; Shouldice, 80 to 109minutes). 7 In present study, the mean operative time in Group A was 84.16 minutes±14.87 and in Group B was 58.80 minutes±9.49.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of inguinal hernia repair: Shouldice versus Lichtenstein repair

Shah

Kumar²

2018

Int Surg J

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Background: Inguinal hernia is a common problem and its repair is one of the most frequently performed operation in general surgical practice. There are appreciable advantages of Lichtenstein over Shouldice repair in terms of simplicity, less time consuming and postoperative pain; there in the context of less developed countries with limited economic resources, however Shouldice repair is more cost effective and there are no differences in recurrences and other complications which would be a better proposition. The present study aims at comparing the results of Shouldice versus Lichtenstein’s repair in inguinal hernia in adult male (≥18 years).Methods: Total of fifty cases was included in this study, were equally divided into 2 groups; Group A and Group B and subjected for Shouldice and Lichtenstein mesh repair respectively. Operating time, postoperative complications as Wound infection, Seroma, Hematoma, Postoperative pain, and days of hospital stay, total costs and time to return to usual activity was noted.Results: Out of 50 patients, 36 (72%) were had indirect hernia and most of them were in between 18-29.9 years of age. There were no difference between two groups with respect to postoperative pain, Wound infection 12% and 8%, Seroma 8% and 4% and Hematoma 4% and 4% in Group A and Group B respectively. However, there is significant difference noted in operating time period in which Shouldice repair took more time (Mean time in Shouldice 84.16 min and Lichtenstein 58.80 min). There were no recurrences in either group.Conclusions: So, comparing our results of both groups, Lichtenstein repair were found to be better as it is simple procedure and is less time consuming than Shouldice repair. However, Shouldice repair was found to be cost effective which could be an important consideration in developing countries.

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Section: Discussionmentioning

confidence: 99%

A comparative study of inguinal hernia repair: Shouldice versus Lichtenstein repair

Shah

Kumar²

2018

Int Surg J

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A 65-Year-Old Man With an Inguinal Hernia

Wantz¹

1997

JAMA

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Dr DELBANCO: Mr K, a 65-year-old engineer and married father of 6, has had a moderate-sized hernia for many years and is trying to decide whether to have it repaired. Recently retired from his principal job but still working full-time, he is covered by Medicare and supplementary private insurance.He lives in a suburb of Boston, Mass, and for several years has been cared for by Dr M, a general internist practicing in a primary care unit at the Beth Israel Deaconess Medical Center.Mr K was born with a left-sided hernia. He recalls having episodes of pain as a young child and that he and his family attempted periodically to reduce the hernia. When he was 8 years old, the hernia was repaired. He has had no trouble on that side since. In 1961, he was first told of a hernia on the right side during a routine military physical examination. A surgeon suggested he have it repaired, but since it did not bother him, he did nothing about it. About 2 years ago, when he awoke one morning, he noted a large protuberance in the right inguinal area. He recalls no inciting incident. Since then, the hernia has continued to be large, but easily reducible. After extended periods of sitting, it bothers him "mildly," but he denies pain with cough or defecation.His maternal grandmother was troubled by a hernia, and his eldest son was born with an inguinal hernia. He is concerned that, as he ages, the hernia may prove more of a problem. He is active, particularly enjoying scuba diving, which takes him to depths of more than 100 feet. He has several friends who have undergone herniorrhaphy and has had conflicting advice about whether to proceed with surgery, including counsel from several health professionals in his family.Mr has a long history of mild hypertension, for which he takes 240 mg of diltiazem daily. He has had erectile dysfunction for the past 10 years; evaluation has revealed no endocrine or psychological cause. He has well-documented sleep apnea, mild narcolepsy, and, in more recent years, episodes of sleep paraly¬ sis. Continuous positive airway pressure treatment at night has been effective. He stopped smoking at the age of 30 years, uses alcohol once or twice a week, and is mildly overweight.On physical examination, he appears well and looks younger than his stated age, with a normal examination except for a large, easily reducible, right inguinal hernia. MR K: HIS PERCEPTIONS AND UNDERSTANDING Mr K: I was born with a hernia on the left side. Before I was 8 years old, it would get caught and it would expand and become very painful. Then I'd have to lie down, and my parents would bring ice and things to try to get it down in size again. I knew that I had to be very careful that it didn't get caught and not go back down. When I was 8, they decided it was time to operate on it. I knew that I had a small hernia on the right side when I was about 30 years old. But it never gave me any problems until about 2 years ago, when suddenly it became large and it opened up and got to the state that it is now. The only time I have discom...

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Hernia of the Abdominal Wall

Stoppa¹

1998

Hernias and Surgery of the Abdominal Wall

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Early results with the Lichtenstein tension-free hernia repair

Cited by 11 publications

References 8 publications

A comparative study of inguinal hernia repair: Shouldice versus Lichtenstein repair

A comparative study of inguinal hernia repair: Shouldice versus Lichtenstein repair

A 65-Year-Old Man With an Inguinal Hernia

Hernia of the Abdominal Wall

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