Lichtenstein mesh hernioplasty for inguinal hernias: simplicity is the ultimate sophistication

Shirah, Bader; Shirah, Hamza Assad

doi:10.18203/2349-2902.isj20160232

Cited by 6 publications

(19 citation statements)

References 20 publications

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“…Inguinal hernias are nine times more common in men than in women. 4,5 Although femoral hernias are found more often in women, the inguinal hernia is still the most common hernia in women. Overall lifetime risk of 1 developing a groin hernia is approximately 15% in males and less than 5% in females.…”

Section: Epidemiologymentioning

confidence: 99%

“…Overall lifetime risk of 1 developing a groin hernia is approximately 15% in males and less than 5% in females. 5 After an initial peak in the infant, groin hernias become more prevalent with advancing age. [5][6][7][8][9] In the same way, the complications of hernias (incarceration, strangulation, and bowel obstruction) are found more commonly at the extremes of age.…”

Section: Epidemiologymentioning

confidence: 99%

“…3 The Litchentein technique is the most commonly used one today with various modifications thanks to its ease of operation and also it provides a tension-free repair. 4,5 The most common complication after inguinal hernia repair has been reported as chronic pain (incidence is 15-40%). Important causes for this postoperative pain include usage of sutures for the fixation of mesh, entrapment neuropathy of ilioinguinal and iliohypogatric nerves 4 .…”

Section: Introductionmentioning

confidence: 99%

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Comparison between minimal stitch hernioplasty and continuous suturing of mesh in inguinal hernia repair: a randomised controlled trial

Palit

Giridharan

et al. 2023

Int Surg J

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Background: Inguinal hernia repair is the most commonly done surgery of all general surgical procedures. Hence in an attempt to decrease the pain and increase the patient’s comfort, various techniques have been considered to fix the mesh. The aim of this study was to compare the differences between the two techniques of mesh fixation namely the minimal stitch method and the continuous suturing in terms of various parameters. Methods: This study was conducted selecting 126 patients who attended the general surgery OPD at ESIC MC and PGIMSR and randomly allocating them to the two study groups; the patients were followed up till 6 months post-operatively. The parameters taken into account were: the operative time, the duration of hospital stay, the pain scores at various time intervals (POD 1, 3, 7, 30, 60, 90, 180) and the incidence of complications if any. Results: Among the 126 male patients enrolled in the study, the highest % belonged to the age group 51-60. 90% of them had unilateral hernias. The pain scores were significantly low in the minimal stitch group from the first postoperative day up to 1 month. The operative time and duration of hospital stay was also significantly decreased in the minimal stitch group. Conclusions: Hence, the minimal stitch technique used for inguinal hernia repair in our study proved to be comparable to the conventional suturing, better than the latter in terms of patients’ subjective satisfactory factors such as less operative time and less hospital stay while having no significant difference in terms of occurrence of chronic inguinodynia or any other postoperative complications.

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Section: Epidemiologymentioning

confidence: 99%

Section: Epidemiologymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison between minimal stitch hernioplasty and continuous suturing of mesh in inguinal hernia repair: a randomised controlled trial

Palit

Giridharan

et al. 2023

Int Surg J

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“…Almost 75% of cases of abdominal wall hernias are accounted to Inguinal hernias which are potentially life staking in 27% of male patients and 3% female patients. 1 Inguinal hernias often appear as a protrusion in the inguinal region that disappears when a little pressure is applied or when the patient reclines. The patient feels little to mild pain that may worsen due to increased activity.…”

Section: Introductionmentioning

confidence: 99%

Comparison between outcome of single dose of prophylactic antibiotic versus postoperative antibiotic in inguinal hernia surgery

Ahmad¹,

Arshad²,

Ashraf³

2022

Pak J Med Sci

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Objectives: To compare the outcome prophylactic antibiotics and routine pre-surgical and post-surgical in terms of incidence of surgical site infection (SSI) and to explore the effect of various factors such as duration of surgery and patient characteristics (if any). Methods: A double-blinded prospective analysis of a total of 60 patients with the primary inguinal hernia was conducted from 24th August 2020 to 24th August 2021 at the Surgical Department of Nishtar Medical University & Hospital, Multan. The participants of the study were categorized into two groups such that 30 consecutive patients were placed in the study group who were administered with a single dose of prophylactic antibiotic 30 minutes before to mesh repair surgery and the remaining 30 patients were placed in the control group who were administered routine antibiotics pre and post-operatively. The effects in patients were observed till 30 days following surgery for any sign of infection. All the collected data were analyzed through SPSS (version 19). Results: The rate of infection in both groups was noted. The incidence of infection in the study group (13.3%) was higher as compared to the control group (10%). No patient underwent mesh removal and no significant difference in terms of post-operative complications was observed in the results of both groups. Conclusion: Both the treatments, prophylactic antibiotics and routine pre-surgical and post-surgical were equally effective. However, we recommend the administration of prophylactic since they are cost-effective and prevent bacterial drug resistance. doi: https://doi.org/10.12669/pjms.38.5.5332 How to cite this:Masood A, Arshad AR, Ashraf M. Comparison between outcome of single dose of prophylactic antibiotic versus postoperative antibiotic in inguinal hernia surgery. Pak J Med Sci. 2022;38(5):---------. doi: https://doi.org/10.12669/pjms.38.5.5332 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…Scheme 1. Polypropylene (C6H14O3) 3D graphic representation [2] It is well known that the use of polypropylene meshes significantly reduces the risk of the recurrence of hernias and eventrations by increasing parietal resistance [3]; the same physical principles contribute to maintaining the shape obtained after performing the abdominoplasty associated with the treatment of diastasis. Without a doubt, the use of polypropylene meshes in the classic abdominoplasty protocol is a matter of debate, there are many studies that state that this approach is not recommended and that these devices should be used only for complicated cases [4].…”

Section: Introductionmentioning

confidence: 99%

Study on the use of polypropylene meshes for the correction of abdominal parietal defects during abdominoplasty

Bejinariu¹,

Popescu²,

Dragosloveanu³

et al. 2020

Mater. Plast.

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The current paper presents the advantages and disadvantages of the polypropylene mesh used for patients who underwent abdominoplasty associated with the treatment of abdominal wall defects. The study was based on data obtained from 64 patients who benefited from abdominoplasty associated with the surgical treatment of abdominal parietal defects, such as: hernias, eventrations and diastasis. The results of the research show that the use of the polypropylene mesh is associated with an increased resistance of the rectus abdominis sheath plication, the reduction of the postoperative complications rate and the improvement of the patients� satisfaction regarding the aesthetic result of the surgical intervention.

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Lichtenstein mesh hernioplasty for inguinal hernias: simplicity is the ultimate sophistication

Cited by 6 publications

References 20 publications

Comparison between minimal stitch hernioplasty and continuous suturing of mesh in inguinal hernia repair: a randomised controlled trial

Comparison between minimal stitch hernioplasty and continuous suturing of mesh in inguinal hernia repair: a randomised controlled trial

Comparison between outcome of single dose of prophylactic antibiotic versus postoperative antibiotic in inguinal hernia surgery

Study on the use of polypropylene meshes for the correction of abdominal parietal defects during abdominoplasty

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