INGUINAL HERNIA

LICHTENSTEIN AND DARN REPAIR A COMPARATIVE STUDY

Authors

  • QUDDUS-UR- REHMAN Independent Medical College, Faisalabad.
  • USMAN LATIF
  • TAJAMMAL ABBAS SHAH

DOI:

https://doi.org/10.29309/TPMJ/2010.17.01.1978

Keywords:

Lichtenstein repair, Darn repair, Inguinal hernia, Hematoma, Infection, Recurrence.

Abstract

Objectives: To compare the rate of wound infection, recurrence and haematoma formation following Darn & Lichtenstein repair.
Design: Prospective, comparative study. Place & Duration: Surgical Unit-ll, Allied Hospital, Faisalabad. Period: One year study from 15-01-
2003 to 15-01-2004. Patients & Methods: Total of 50 male patients between 16-60 years of age having right sided, left sided and bilateral
inguinal hernias were divided by odd and even numbers into two groups, each group consisting of 25 patients. In 1s t group of patients,
Lichtenstein repair was done. While in 2n d group, Darn repair of posterior inguinal wall was performed. Patients were examined postoperatively
for wound infection, haematoma formation & recurrence. Most of them presented with reducible inguinal hernias (84%) while others with
irreducible inguinal hernias (16%). Results: Wound infection and hematoma formation were not observed in any patient in case of Lichtenstein
repair. Wound infection was not observed in any patient and hematoma formation in two patients in case of Darn repair. Recurrence occurred
in one patient with Darn repair while non was observed in case of Lichtenstein repair. Conclusion: Lichtenstein repair (mesh repair) of inguinal
hernia is safe & has less rate of recurrence and haematoma formation.

Author Biographies

QUDDUS-UR- REHMAN, Independent Medical College, Faisalabad.

Associate Professor FCPS (Surgery)

USMAN LATIF

Objectives: To compare the rate of wound infection, recurrence and haematoma formation following Darn & Lichtenstein repair.
Design: Prospective, comparative study. Place & Duration: Surgical Unit-ll, Allied Hospital, Faisalabad. Period: One year study from 15-01-
2003 to 15-01-2004. Patients & Methods: Total of 50 male patients between 16-60 years of age having right sided, left sided and bilateral
inguinal hernias were divided by odd and even numbers into two groups, each group consisting of 25 patients. In 1s t group of patients,
Lichtenstein repair was done. While in 2n d group, Darn repair of posterior inguinal wall was performed. Patients were examined postoperatively
for wound infection, haematoma formation & recurrence. Most of them presented with reducible inguinal hernias (84%) while others with
irreducible inguinal hernias (16%). Results: Wound infection and hematoma formation were not observed in any patient in case of Lichtenstein
repair. Wound infection was not observed in any patient and hematoma formation in two patients in case of Darn repair. Recurrence occurred
in one patient with Darn repair while non was observed in case of Lichtenstein repair. Conclusion: Lichtenstein repair (mesh repair) of inguinal
hernia is safe & has less rate of recurrence and haematoma formation.

TAJAMMAL ABBAS SHAH

Objectives: To compare the rate of wound infection, recurrence and haematoma formation following Darn & Lichtenstein repair.
Design: Prospective, comparative study. Place & Duration: Surgical Unit-ll, Allied Hospital, Faisalabad. Period: One year study from 15-01-
2003 to 15-01-2004. Patients & Methods: Total of 50 male patients between 16-60 years of age having right sided, left sided and bilateral
inguinal hernias were divided by odd and even numbers into two groups, each group consisting of 25 patients. In 1s t group of patients,
Lichtenstein repair was done. While in 2n d group, Darn repair of posterior inguinal wall was performed. Patients were examined postoperatively
for wound infection, haematoma formation & recurrence. Most of them presented with reducible inguinal hernias (84%) while others with
irreducible inguinal hernias (16%). Results: Wound infection and hematoma formation were not observed in any patient in case of Lichtenstein
repair. Wound infection was not observed in any patient and hematoma formation in two patients in case of Darn repair. Recurrence occurred
in one patient with Darn repair while non was observed in case of Lichtenstein repair. Conclusion: Lichtenstein repair (mesh repair) of inguinal
hernia is safe & has less rate of recurrence and haematoma formation.

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Published

2010-03-10

Issue

Vol. 17 No. 01 (2010): Vol. 17 No. 01

Section

Articles