- CODEN : IAJPBB
- issn 2349-7750
TITLE:
COMPARISON BETWEEN LICHTENSTEIN REPAIR VS DESARDA IN INGUINAL HERNIA IN TERMS OF POST OPERATIVE PAIN
AUTHORS:
Dr. Arslan Mir, Dr. Hafiz Muhammad Ejaz, Dr. Rana Zahid Javed
ABSTRACT:
Introduction: The estimated lifetime risk for inguinal hernia is 27% for men and 3% for women.1 Reports on the outcome of inguinal hernia surgery show that recurrence rate 5 years after operation can vary from 0.1 to over 20%. Classically done operations today are tension repairs like Bassini, Shouldice or MacVay’s repairs and tension free repairs like repairs done with mesh, plug and mesh or PHS (Prolene Hernia System). All tension repairs have high rate of recurrences and post-operative pain. Sutures are under tension even at rest and gets aggravated during contractions and scar shrinkage in healing process. Therefore, tension free repairs using mesh prosthesis are being preferred. Methodology: Setting: The Study was done at Dhq hospital Sahiwal. Sample size: 187 case of unilateral hernia was included in the study. Sample Selection: Consecutive non-probability sampling Study Design: Comparative analysis Data Collection The study to compare the two techniques of hernia repair was carried out at Department of Surgery at DHQ Hospital Sahiwal. The study group included patients with inguinal or inguinoscrotal hernia during the period of September 2018 to September 2019. Results: On comparison & evaluation of complications observed post operatively all the P Values are >0.05 which is statistically not significant, implying that both Lichtenstein and Desarda have comparable complication rates. There was no significant difference with regard to postoperative fever, cord oedema, groin discomfort, seroma, surgical site infection, chronic pain, neuralgia and foreign body sensations
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