REPAIR OF INGUINAL HERNIAS WITH LICHTENSTEIN TECHINIQUE

Abstract

Inguinal hernia is a very common surgical problem. It is more likely to occur in man than in woman because the spermatic cord passes through the abdominal wall in the inguinal region, leaving a site of natural weakness prone to hernia formation.      

Recurrences have been a significant problem following hernia repair, Prosthetic materials have been increasingly used in hernia repair to prevent recurrences. Their use has been associated with several advantages, such as less postoperative pain, rapid recovery, and low recurrence rates.

In this case control study, 50 inguinal hernia repairs were performed between January, 2001 to December, 2001, using polypropylene mesh (lichtenstein technique). The main outcome measure was early and late morbidity and especially recurrence.

Inguinal hernia was indirect in 72% of cases (36 patients), direct in 28% (14 patients). Mean patient age was 54.5 years (range, 27-82). Follow up was completed in 50 patients (100%) by clinical examination. The median follow-up period was 1 year. Hematoma and seroma formation requiring drainage was observed in 2 and 3 patients, respectively, while transient testicular swelling occurred in one patient. We have not observed acute infection or abscess formation related to the presence of the foreign body (mesh). In one patient, however, a delayed rejection of the mesh occurred after 4 months. There was no recurrence of the hernia. Postoperative neuralgia was observed in 3 patients (6%).

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