A Prospective Comparative Study of 3-Stitch Mesh Hernioplasty with Conventional Lichtenstein Repair.

Autor:	Sharma PK; Department of General Surgery, Government Medical College, Kota, Rajasthan, India., Khandelwal M; Department of General Surgery, Government Medical College, Kota, Rajasthan, India., Pipal DK; Department of General Surgery, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India., Singh Y; Department of General Surgery, Dr S N Medical College, Jodhpur, India., Kothari S; Department of General Surgery, Geetanjali Medical College and Hospital, Udaipur, India., Verma V; Department of General Surgery, Dr S N Medical College, Jodhpur, India., Yadav S; Department of Anesthesiology, JNU Medical College and Hospital, Jaipur, Rajasthan, India., Singh B; Department of Anesthesiology, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India., Jangid G; Dr S N Medical College, Jodhpur, Rajasthan, India.
Jazyk:	angličtina
Zdroj:	Journal of the West African College of Surgeons [J West Afr Coll Surg] 2023 Oct-Dec; Vol. 13 (4), pp. 67-72. Date of Electronic Publication: 2023 Sep 16.
DOI:	10.4103/jwas.jwas_49_23
Abstrakt:	Background: Hernioplasty, in which a mesh is used to strengthen a weakness or defect in the inguinal wall, has replaced simple tissue repair. As it is associated with low recurrence, it is considered the gold standard and is one of the most common general surgical procedures. The ideal repair should be rapid, safe and simple to do, requires minimal dissection to create sufficient space, be cost-effective and be accompanied by a brief hospital stay, reduced pain, and fewer recurrences. The aim of the present study was to compare the efficacy of 3-stitch mesh fixation with that of traditional Lichtenstein mesh fixation of inguinal hernia repair. Materials and Methods: Between July 2018 and December 2019, 59 cases of primary, uncomplicated inguinal hernias were surgically treated. Both the classical Lichtenstein technique (group A, n = 30) and the Lichtenstein technique with the three-stitch fixation method (group B, n = 29) were used on patients with inguinal hernias. Between the two groups, the mean operative times, post-surgical pain scores, average hospital stays and postoperative complications including recurrence rates were compared. Results: With a P -value of 0.001, the 3-point fixation group (group B) took 3.41 ± 0.58 min less time to fix the mesh than the Lichtenstein group (group A, 5.52 ± 0.59 min). The pain after surgery was much less for participants who had 3-point mesh fixation than for those who had conventional mesh fixation in the early (1, 3, 7 and 15 days after surgery) and late (1 month and 3 months) postoperative periods, with a P -value of 0.0001. When compared to the classical mesh fixation group, the 3-point mesh fixation group had less urinary retention, seroma and swelling. Both groups had the same number of other complications. Conclusions: The three-point hernioplasty is a simple procedure that is easier to adopt, less time-consuming, causes less trauma and has a lower risk of postoperative discomfort including chronic groin pain. Competing Interests: There are no conflicts of interest. (Copyright: © 2023 Journal of the west African college of surgeons.)
Databáze:	MEDLINE
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