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EVALUATION OF THE EFFICACY OF LICHTENSTEIN MESH HERNIOPLASY AND ITS COMPLICATIONS

1Aimen Azher, 2Dr Abdul Ghafoor, 3Zahid Hanif

Objective: To evaluate the results of inguinal herniopathy in terms of wound infection, seroma, hematoma formation and recurrence and its clinical study. Study Design: A prospective case-control study. Place and Duration: In the Surgical Unit II of Jinnah Hospital Lahore for one year duration from July 2017 to July 2018. Methodology: All inguinal hernia patients older than 19 years were included in the study. Patients under 19 years of age were excluded from the study because they did not undergo hernioplasty. Patients with chronic cough, constipation, anamia, diabetes mellitus and hypertension were checked and preoperatively optimized. Anesthesia was performed after the necessary examinations. Patients who were not suitable for general anesthesia were operated with spinal and local anesthesia. Two doses of second-generation cephalosporin or Co-amoxiclav were used as prophylactic antibiotics. The antibiotic injection in powder form is sprayed onto the web during operation. Data were collected as pre-designed proforma. Postoperative follow-up was performed for 6 months. Results: A total of 100 men and 104 hernia were operated during this study. 65% of the patients had hernia on the right side, 31% on the left hernias and 4% on the other hand bilateral inguinal hernia. 88% of inguinal hernia could be reduced and 12% could not be reduced, and 8% was recurrent. The age of the patient ranges from 19 to 80 years. The majority of patients were under 60 years of age up to 72%. The average age was 49,63 + -14,10. 60% of the patients and were workers, 28% of heavy workers and 32% of light manual workers. Wound infection in 5%, urinary retention in 5%, hemitoma in 7%, seroma in 12%, recurrence in 1% of 100%, recurrence in 104 patients, 96% in 104 hernia and there was no mortality during the study. Conclusion: It has been shown that hernioplasty for inguinal hernia is effective with minor complications, recurrence and low morbidity and there is no mortality. Early patient mobilization and early work were easy to learn. While the cost of the network was a slight burden for patients, it was more profitable than the results. Key words: Inguinal hernia, Hernioplasty, repair, Lichtenstein technique, relapse, early mobilization and effective cost.

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