Repair of a Primary Inguinal Hernia by Using a Polypropylene Mesh: A Tension Free Lichtenstein Repair in Rural Andhra Pradesh
Introduction: Inguinal hernia repair is one of the most commonly performed surgeries in the world. Inguinal hernia accounts for 75% of all the abdominal wall hernias, with a life time risk of 27% in men and 3% in women [1]. The recurrences which follow inguinal hernia repair are of a significant...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2012-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/1936/26-%203821.A.pdf |
| Summary: | Introduction: Inguinal hernia repair is one of the most commonly
performed surgeries in the world. Inguinal hernia accounts
for 75% of all the abdominal wall hernias, with a life time risk
of 27% in men and 3% in women [1]. The recurrences which
follow inguinal hernia repair are of a significant problem. As the
pathogenesis of adult inguinal hernia is a defect in the metabolism
of collagen, leading to a weakening in the fascia transversalis,
the use of such a weakened tissue is problematic for the hernia
repair. This study was conducted in the Konaseema Institute
of Medical Sciences, Amalapuram, in a rural area of Andhra
Pradesh, to determine the usefulness of a polypropylene mesh
for tension free repair in terms of patient comfort, affordability,
return to normal activity and post operative follow up.
Materials and Methods: A prospective study was conducted
from April 2008-March 2009, with a follow up of 2 years, for
recurrence and any other morbidity.100 Lichtsenstein tension
free hernioplasties for inguinal hernia were performed by using a
polypropylene mesh between.
Results: The inguinal hernia was right sided in 54 cases and
28 cases had left sided hernia, while 18 were bilateral hernias.
Out of these, 57 were indirect and 43 were direct hernias. The
average duration of the surgery was 45 minutes, the duration
of the stay in the hospital was 4 days and after a follow up for
2 years, there was no evidence of recurrence, post-operative
neuralgia, delayed rejection of the mesh or testicular swelling. 2
cases had superficial wound infections.
Conclusion: Lichtenstein tension free repair with a prolene
mesh is an excellent approach in the management of inguinal
hernia, with encouraging results in places where Laparoscopic
TEP and TAPP are not within the reach of most of the patients in
terms of affordability. |
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| ISSN: | 2249-782X 0973-709X |