Evaluation of Lichtenstein and posterior wall darn techniques in inguinal hernia surgery: A prospective cohort study
Keywords:Inguinal hernia, Lichtenstein repair, Posterior wall darn repair
Aim: Inguinal hernia repair is the most common surgical operation in the world. Although the inguinal hernia is as frequent as 75% of all hernias and 3.8% of the whole population, the best form of repair has not yet become clear. The purpose of the hernia repair is simple, easy to apply, safe operation which requires minimal dissection and sufficient exploration, early patient care, reduction of operation cost, loss of labor force, hospital stay and return to work, and minimizing recurrences. Our aim in this study is to compare Lichtenstein tension free technique and posterior wall darn repair (Moloney) techniques.
Methods: This study was designed as a prospective study and was performed in patients who underwent surgery for inguinal hernia in the General Surgery Clinic of Istanbul Training and Research Hospital. A total of 100 patients were divided into two groups (50 posterior wall darn repair, 50 Lichtenstein repair). All patients were hospitalized and their time to return to work was recorded. Patients were called to the controls and checked for recurrence. Criteria such as postoperative patient comfort, complications, active life start time and recurrence were evaluated. The groups were compared statistically.
Results: In our study, there was no significant difference between the two groups in terms of return to work, mobilization and recurrence (p>0.05). Lichtenstein technique was applied statistically in terms of hospitalization time, complication and duration of operation compared to the other groups (p<0.05).
Conclusion: We favor Lichtenstein technique in the treatment of inguinal hernia because of the short duration of operation, short hospitalization time and low complication rate compared with posterior wall darn technique, with similar recurrence rates in both groups.
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