A PROSPECTIVE STUDY BETWEEN PLUG HERNIOPLASTY & LICHTENSTEIN TENSION FREE HERNIOPLASTY FOR TREATMENT OF INGUINAL HERNIA

Abstract

Harish Iyyanna1, Sunil H2

INTRODUCTION
Hernia is a common problem. Although there are so many technique of inguinal hernia repair, no one technique is taken as the ideal technique till date, as there are advantages and disadvantage in each technique. Availability of resources is one of the important factor to choose the technique of inguinal hernia repair.
OBJECTIVE
To compare outcome between tailored plug and patch hernioplasty and Lichtenstein tension free hernioplasty in regards of post op pain, analgesic requirement, hospital stay, post op complications and recurrence.
MATERIALS AND METHODS
120 inguinal hernia patients admitted for operation in the dept. of surgery, Mac Gann hospital Shivamogga were included in the study. 60 patients were operated by plug and patch and 60 patients were operated by Lichtenstein patch technique. Data was collected in terms of operating time, post of pain, hospital stay, and return to normal work and recurrences. Student t test was used for analyses.
RESULTS
For plug and patch patients, mean operating time was 43.07mins. For Lichtenstein patient it was 59.43mins. (p<05). Mean hospital stay for plug and patch was 2.90 days and for Lichtenstein patch repair it was 4.90 days which was statistically significant. There was no difference in terms of return to normal activities.
CONCLUSION
Tailored plug and patch operation took less time and experienced less postoperative pain and less hospital stay, although return to normal activities is same for both the technique.

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