A COMPARATIVE ANALYSIS BETWEEN NON-MESH (BASSINI’S) AND MESH (LICHTENSTEIN) REPAIR OF PRIMARY INGUINAL HERNIA
AbstractBackground: The groin hernia repair is one of the common operations in general surgery. The optimumrepair method is under debate and the best mode of repair is yet to be decided. This study is conducted tocompare the results of open non-mesh (Modified Bassini’s) and Lichtenstein’s mesh repair of primaryinguinal hernia in terms of recurrence, postoperative complications and quality of life in the long term.Methods: This retrospective comparative analytical study includes 840 patients of which 40 patients wereexcluded from the study due to various reasons. The remaining 800 patients with unilateral primaryinguinal hernia, above 16 years of age, operated during January 2000 to December 2007 in a teachinghospital are included in the study. Of the total number, 392 patients (49%) underwent Lichtenstein meshrepair, while remaining 408 patients (51%) were operated by modified Bassini’s suture technique. Followup was conducted 1, 5, 8 and 15 days; 1, 2, 6, 24 and 36 months. Results: The recurrence rate andpostoperative pain were significantly low in Lichtenstein mesh repair compared to open non-mesh repairby modified Bassini’s technique (p<0.001). Recurrence occurred in 8 (2.0%) out of 392 patients thosewith Lichtenstein mesh repair. On the other hand 29 (7.1%) patients with Bassini’s repair reportedrecurrence within 3 years time. Conclusion: Mesh repair of inguinal hernia is much superior to non-meshrepair in terms of recurrence and postoperative chronic pain.Keywords: Inguinal hernia, open repair, Lichtenstein repair, morbidity, recurrence
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