Journal of AdvancedMedical and Dental Sciences Research

Aim: A comparative analysis of Stoppa's repair and the Lichtenstein approach for the surgical treatment of bilateral inguinal hernia. Methods: This research was conducted at the Department of General Surgery using a prospective, open, randomised, comparative design. The patients were randomly assigned to two groups using simple randomization. Group 1 received Lichtenstein tension-free mesh hernioplasty, whereas group 2 got Stoppa's repair. Age, primary symptoms, and duration of inguinal hernia, as well as any other accompanying problems such as chronic cough, chronic constipation, urinary issues, etc., were all considered. Additionally, the patient's history of prior abdominal operations, family medical history, employment, and marital status were taken into consideration. Additionally, a comprehensive physical examination was conducted. A total of 60 patients, with 30 patients in each group, were included in the research based on their fulfilment of the selection criteria. Results: The current research has included 60 individuals who have bilateral inguinal hernia and match the specified selection criteria. The participants were allocated to one of two groups at random in this research. Group 1 consisted of 30 patients who received bilateral Lichtenstein tension-free hernioplasty, while group 2 got Stoppa surgery. The duration of the operation was much shorter for patients in group 2 (45.69±3.74 min), compared to group A where it was 81.25±2.99 min. There were no issues during the surgery in any of the groups. Patients in Group 2 had notably reduced pain ratings after surgery, as determined by the visual analogue scale, 12 hours after the procedure. However, there was no statistically significant disparity in pain levels after 24 hours or 7 days after the surgery. Conclusion: Our analysis showed that both techniques were effective in producing positive post-operative results and encountered comparable challenges. The duration required for all groups to resume regular activity and employment without experiencing discomfort was extended, perhaps due to the fact that the hernia surgeries were performed on both sides.