Abstract

A COMPARATIVE STUDY IN HERNIOPLASTY WITH AND WITHOUT DRAIN AND THE ASSOCIATED COMPLICATIONS

Author(s): Amruthavalli Bayya Venkatesulu1, Mudavtu Bhagavan Naik2

BACKGROUND
The present study is a comparative study to compare in Lichtenstein’s mesh repair, the need of a subcutaneous suction drain in inguinal hernias at Government General Hospital, Guntur. To study the advantages and disadvantages of using subcutaneous suction drain in Lichtenstein’s hernioplasty.
MATERIALS AND METHODS
In the present study, out of 50 patients,32% of patients who had undergone drainage group complained of pain and 8% of patients who had undergone non-drainage complained of pain. In our study, 0% and 4% of patients developed haematoma in drainage and non-drainage group, respectively. 12% of patients in drainage group developed seroma and 12% of patients in non-drainage group developed seroma. In the present study, 16% of cases in drainage and 20% in non-drainage group. In the present study, patients in drainage group mean postoperative hospital stay is 9.1 days and in non-drainage group is 6.7 days. The average duration of postoperative hospital stay in patients of drainage group is higher than in non-drainage group with the above results, the early postoperative complications like pain, mean postoperative stay in hospital are increased in Lichtenstein’s with drainage group. The early postoperative complications like seroma, haematoma and wound infection rates are similar in both drainage and non-drainage groups. So, it appears that suction drain usage can be restricted in Lichtenstein’s tension free mesh repair in simple inguinal hernias unless the hernia is complicated or there is extensive dissection.
RESULTS
The details of all the (50) cases were drawn as master chart with regard of relevance. Statistical analysis was done using Epi info version 3.5.3. P value is calculated using Chi-square test.
CONCLUSION
In the present study, 50 patients with inguinal hernia who had undergone Lichtenstein’s hernioplasty with subcutaneous suction drain are compared with those who had undergone Lichtenstein’s hernioplasty without drain.
KEYWORDS
Lichtenstein’s Mesh Repair, Pain, Seroma, Haematoma, Wound Infection.

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