Naveen N1, Srinath R2. 1. Assistant Professor, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences , India . 2. Professor and HOD, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences , India .
Abstract
BACKGROUND:Bassini's repair and the Lichtenstein's tension free mesh hernioplasty are commonly used hernia repair techniques and yet there is no unison as to which is the best technique. Our hospital being in a rural setup and catering to majority of poor patients who are daily wagers, open hernia repairs are commonly done. This study was undertaken to compare the technique and post-operative course so as to determine the best suitable of the two procedures for them. MATERIALS AND METHODS: A comparative randomized study was conducted on a total of 70 patients with inguinal hernia and were operated upon by either of technique and followed up. Outcome of both the techniques were analyzed and compared with other similar studies. RESULTS: Study involved 35 each of Modified Bassini's Repair (MBR) and Lichtenstein's Mesh Repair (LMR), over a period of 18 months. MBR took more operating time than LMR. Commonest complication in both the groups was seroma formation. There were two recurrences in the MBR group and none in LMR group. CONCLUSION:LMR was comparatively better than MBR due to its simplicity, less dissection and early ambulation in the post-operative period and with no recurrence, in our study.
RCT Entities:
BACKGROUND: Bassini's repair and the Lichtenstein's tension free mesh hernioplasty are commonly used hernia repair techniques and yet there is no unison as to which is the best technique. Our hospital being in a rural setup and catering to majority of poor patients who are daily wagers, open hernia repairs are commonly done. This study was undertaken to compare the technique and post-operative course so as to determine the best suitable of the two procedures for them. MATERIALS AND METHODS: A comparative randomized study was conducted on a total of 70 patients with inguinal hernia and were operated upon by either of technique and followed up. Outcome of both the techniques were analyzed and compared with other similar studies. RESULTS: Study involved 35 each of Modified Bassini's Repair (MBR) and Lichtenstein's Mesh Repair (LMR), over a period of 18 months. MBR took more operating time than LMR. Commonest complication in both the groups was seroma formation. There were two recurrences in the MBR group and none in LMR group. CONCLUSION:LMR was comparatively better than MBR due to its simplicity, less dissection and early ambulation in the post-operative period and with no recurrence, in our study.
Authors: Kathleen Lockhart; Douglas Dunn; Shawn Teo; Jessica Y Ng; Manvinder Dhillon; Edward Teo; Mieke L van Driel Journal: Cochrane Database Syst Rev Date: 2018-09-13