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Volume 6 Issue 10 (October, 2018)

Original Articles

Comparison of Lichtenstein method of hernioplasty and Preperitoneal Meshplasty in Inguinal Hernia- A Clinical Study
Ramesh Chandra Awasthi

Background: Inguinal hernias account for 75% of abdominal wall hernias. Lichtenstein method of hernioplasty and preperitoneal meshplasty are commonly used methods for management of hernia. Materials & Methods: The present study was conducted on140 cases of lingual hernia of both genders (males- 82, females- 58). Patients were divided into 2 groups. Group I (70) was managed with Lichtenstein’s hernioplasty and group II (70) was managed with preperitoneal meshplasty. Time taken for surgery, early complications and late complications etc. were recorded. Results: Out of 70 patients in group I, males were 48 and females were 32. In group II, males were 34 and females were 26. The difference was significant (P< 0.05). Mean time taken in group I patients was 46.2 minutes and in group II was 50.5 minutes. The difference was non- significant (P>0.05). Early complication were seroma (2) in group I, wound infection 1 case each in group I and II, testicular atrophy in group I (2) and group II (1), mesh infection 1 in group I and post- operative pain in group I (2) and group II (4). Late complications were chronic pain in group I (5) and group II (1), recurrence in group I (2) and group II (1) and sinus formation in group II (1). Conclusion: Both techniques found to be equally effective. However, the selction of specific technique should be done cautiously. Key words: Hernia, hernioplasty, Lingual

 
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