All-in-One Technique versus Lichtenstein Technique for Inguinal Hernia Repair: Comparative Study | ||||
| Zagazig University Medical Journal | ||||
| Article 658, Volume 30, Issue 3, May and June 2024, Page 992-1002 PDF (947.72 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2021.55790.2067 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Abd-Elrahman Metwalli 1; Tamer Mohamed Elshahidy2; Yasser Ali Orban  3
| ||||
| 1General Surgery. Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt | ||||
| 2General Surgery Department, Faculty of Medicine, Zagazig University, Egypt. | ||||
| 3General Surgery Department, Faculty of Medicine, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: Chronic inguinodynia is considered the most disabling complications post-inguinal hernia repair. A novel technique (All-in-One Mesh Hernioplasty) is viable for whole cases of the primary inguinal hernia which utilizes a smaller pre-cut mesh covering whole weak regions of the inguinal canal and is wrapped by a fibro-cremasteric sheath to avoid contact between the prosthesis with neural structures. The present study aimed to compare the outcomes of the Lichtenstein technique and the All-in-One Mesh Hernioplasty technique. Methods: A randomized clinical trial was conducted on 80 patients with a primary inguinal hernia in the department of General Surgery, Zagazig University Hospitals, Egypt from January 2018 to January 2020. The patients were categorized equally into 2 groups; Group A involving 40 patients repaired by Lichtenstein technique and Group B involving 40 patients repaired by All-in-One Mesh Hernioplast technique. Results: There was no significant variation (P> 0.05) among the two groups concerning demographic and clinical presentation. There was no significant variation (P> 0.05) among them as regard wound hematoma, infection, seroma, scrotal edema, urine retention. Chronic groin pain, persistent numbness, and foreign body sensation were less in group B than group A and this variation was statistically significant (P=0.003), while there was no significant variation (P> 0.05) between them in hospital stay, time of return to work or normal activity, and mean postoperative follow-up. Conclusions: All-in-One Mesh hernioplasty is a safe and effective technique in repairing the primary inguinal hernia with less postoperative chronic inguinal pain. | ||||
| Keywords | ||||
| Inguinal Hernia; Lichtenstein; All-in-One Mesh Hernioplasty | ||||
|
Statistics Article View: 277 PDF Download: 333 |
||||
