Audit of Patient Outcomes after Lichtenstein Hernioplasty for the Repair of Adult Inguinal Hernia

Authors

  • Md Ibrahim Siddique Associate Professor, Department of Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Samia Mubin Assistant Professor, Department of Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Krisna Rani Majumder Medical Officer, Department of Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka
  • Muhammad Ali Siddiquee Medical Officer, Department of Surgery, Faculty of Surgery, Bangabandhu Sheikh Mujib Medical University, Dhaka

DOI:

https://doi.org/10.3329/jss.v16i2.43601

Keywords:

Lichtenstein hernioplasty, Inguinal hernia

Abstract

Background: Inguinal hernia repair is one of the most commonly performed surgeries worldwide. While numerous surgical approaches exist to treat inguinal hernias, the Lichtenstein tension-free mesh repair remains the gold standard. This retrospective study is carried out to evaluate the short and long term outcomes of Lichtenstein hernioplasty in the hand of a general surgeon. Patients and Methods: A retrospective analysis of all adult inguinal hernia repair by Lichtenstein method between January .2003 and December 2009 was carried out. The outcome measures were early post-operative complications, incidence of chronic groin pain and recurrence rate.
Results: A total of 526 procedures were carried out in 445 adult male patients during the study period. The median age of the patients was 49 years (range, 21-73 years). All patients underwent Lichtenstein hernioplasty under spinal anesthesia. Length of hospital stay was median 2.4 days (range, 1-4 days). Median time to the resumption of normal activities was 8 days (range, 5-1 0 days). Urinary retention was the most frequent early post-operative complication (5.1 6%). Rate of wound infection was acceptable (0.44%). Chronic groin pain was experienced by three patients (0.67%). There was no recurrence observed among the 291 (65.4% of the total) patients who were available after two years
of the procedure.
Conclusion: The Lichtenstein open tension-free mesh repair of adult inguinal hernia is a safe procedure with least post-operative morbidity and least chance for recurrence. It is a simple technique, quick and. easy to perform without compromising the patient's care and long-term outcome in the hand of an experienced general surgeon.

Journal of Surgical Sciences (2012) Vol. 16 (2) : 54-58

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Published

2019-10-21

How to Cite

Siddique, M. I., Mubin, S., Majumder, K. R., & Siddiquee, M. A. (2019). Audit of Patient Outcomes after Lichtenstein Hernioplasty for the Repair of Adult Inguinal Hernia. Journal of Surgical Sciences, 16(2), 54–58. https://doi.org/10.3329/jss.v16i2.43601

Issue

Vol. 16 No. 2 (2012)

Section

Original Articles

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