The Difference in Outcomes of Excision Versus Invagination of Hernial Sac in Management of Indirect Inguinal Hernia

Ranga, Hans Raj; Kaushik, Kaviraj; Garg, Deepak; Garg, Pradeep

doi:10.14260/jemds/2016/565

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…2 Ranga HR et al, study mean post-operative pain score in group A was 2.8±0.764 while in group B was 2.68±0.69 with p value=0.568 , which was not statistically significant. 6 Delikoukos S et al, study mean post-operative pain score in group A was 2.8±1.4 and 2.3±1.2 in group B with p value <0.05. 5 In this study, mean post-operative pain score was 5.93±1.12 in group A and 4.39±1.03 in group B with P value 0.012, author observed that, lower pain score was reported among patients in group B…”

Section: Discussionmentioning

confidence: 88%

“…4,5 An ideal hernia repair should be tension free, tissue based with no potential damage to vital structures, no long-term pain or complications and no recurrence. 6 Recurrences have frustrated surgeons of all ages, experience, skill and nationality. One of the cardinal causes for recurrence was thought to be failure to do high ligation of sac because of the emphasis on the sac, its ligation is done as a sacred ritual.…”

Section: Introductionmentioning

confidence: 99%

“…1 Sac invagination will be associated with a decreased incidence of future adhesive complications and less pain because the richly innervated peritoneum is not incised. 5,6 Edoardo bassini recommended excision and high ligation of the indirect hernia sac in 1876. Even in the laparoscopic era, due to long and complex learning curve of laparoscopic hernia repair, open Lichtenstein tension free meshplasty is accepted as gold standard in inguinal hernia repair in modern era.…”

Section: Introductionmentioning

confidence: 99%

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Invagination of inguinal hernial sac in comparison with ligation and excision in indirect inguinal hernia

Gupta¹,

Jain

Vasava

2019

Int Surg J

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Background:To evaluate the incidence of early recurrence and chronic groin pain in the two groups of patients (group A=ligation and excision, group B=invagination) with indirect inguinal hernia and to observe different intraoperative and post-operative parameters in both groups. Methods: This prospective randomized study was done in SSG Hospital and Government Medical College, Vadodara from 1 st December 2016 to 30 th November 2017. All the cases of indirect inguinal hernia attending the surgical OPD in SSG hospital were enrolled in this study. All the patients underwent Lichtenstein tension free repair. A total of 50 patients were enrolled in this study. MedCalc Software Version 12.5.0 was used for the analysis of the data and Microsoft word and Excel was used to generate graphs and tables. Results: 50 patients of indirect inguinal hernia with more than 18 years of age were enrolled and divided into two groups. Intra operative complications, post-operative pain by VAS and post-operative complication observed, which was found insignificant. There was no seroma and induration on both the study group at 3 months and 6 months interval. No local swelling (recurrence) in inguinal region was seen in patients (both group A and group B) during the 6 months follow up period. Conclusions: This study shows no difference in outcome of results in Lichtenstein tension free hernia repair for indirect inguinal hernia with two different technique in dealing with sac except less postoperative pain in invagination of sac as compare to ligation and excision.

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Section: Discussionmentioning

confidence: 88%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Invagination of inguinal hernial sac in comparison with ligation and excision in indirect inguinal hernia

Gupta¹,

Jain

Vasava

2019

Int Surg J

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A Study of Comparison of Pure Tissue Repair (Deserda) and Prosthetic Repair (Lichtenstein) Methods for Inguinal Hernia Repair-a Comparative Study

Chauhan

Patel

Gaudani³

2021

ijsr

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INTRODUCTION: An ideal hernia repair should be tension free, tissue based, with no potential damage to vital structures, no long term pain or complications and no recurrence. Although Lichtenstein's prosthetic repair is simple and safe, but it is also correlated with risk of infections, recurrence, chronic pain, testicular atrophy and infertility, foreign body sensations and chronic groin sepsis. Desarda hernia repair does not require mesh and provide more physiological support. It is simple, easy to learn. AIMS AND OBJECTIVES: a) To compare the operative time, postoperative stay and time required to return normal activity between two groups. b) To compare early complication rate and late complication rate between two groups. MATERIALAND METHODS: This observational study was conducted among patients admitted with the diagnosis of primary inguinal hernia in SMIMER, Surat. The patients were randomly allocated to either Lichtenstein or Desarda method of hernia repair. Operating time, post operative stay and duration of return to normal activity were recorded. Early complications were noted and the patients were followed up to 12 months for late complications (chronic pain, foreign body sensation, and recurrence). RESULTS: The mean operative time and postoperative stay did not show signicant differ for both groups. Patients operated by Desarda technique returned to normal activity signicantly early by 12.2 ± 2.54 days as compared to patients operated by Lichtenstein techniques (14.0 ± 2.76 days, p = 0.01). Most common early complication in both groups was pain (D group; 40.0%, Lgroup: 45.2%) followed by wound infection (D group; 8.0%, Lgroup: 6.5%) and seroma (D group; 0.0%, Lgroup: 3.2%). Occurrence of chronic pain was more in Lgroup (58.1%) as compared to D group (16.0%, p=0.001). None of the patients from D group had foreign body sensation. Foreign body sensation was observed only in ve patients of Lgroup (16.1%). Recurrence rate during one year in Lgroup (6.5%) was higher than D group (4.0%). CONCLUSION: Early return to work was potential benet of Desarda repair. Early complications were similar in both procedures. Desarda repair has lower incidence of chronic pain and foreign body sensation. However, there is no signicant difference for chronic pain in Desarda group when compared in same patients operated bilaterally with different technique. This study was conducted with small sample size with short follow up. Therefore, result of late complication in the present study may insufcient to conclude the probability of occurrence as longer follow up and larger sample size is required.

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The Difference in Outcomes of Excision Versus Invagination of Hernial Sac in Management of Indirect Inguinal Hernia

Cited by 2 publications

References 9 publications

Invagination of inguinal hernial sac in comparison with ligation and excision in indirect inguinal hernia

Invagination of inguinal hernial sac in comparison with ligation and excision in indirect inguinal hernia

A Study of Comparison of Pure Tissue Repair (Deserda) and Prosthetic Repair (Lichtenstein) Methods for Inguinal Hernia Repair-a Comparative Study

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