Comparison of Lichtenstein repair and new mesh implant technique in the treatment of indirect inguinal hernia

Objective: Inguinal hernia surgery is one of the most commonly used surgical procedures in the world. The aim of this study was to compare the recurrence and postoperative complications between a new mesh implant technique in the floor of the inguinal canal with limited tissue repair on it and Liechtenstein technique for inguinal hernia repair.Methods: In this cross-sectional study, patients were studied by Liechtenstein technique and a new technique of insertion of mesh at the foam of the inguinal canal with a limited tissue repair on it. Data were collected by interview and we assessed the recurrence rate, urinary retention and post-operative pain. Data were analyzed using SPSS software version ۲۴. Chi-square test and t test were used for quantitative data and P value less than ۰.۰۵ was considered significant.Results: The mean age of patients was ۴۹.۲۸ ± ۱۵.۸۴. The mean age and sex ratio between the two groups were similar. Recurrence was seen in ۱۱ (۱.۸۳%) of all patients and the difference between the two groups was not significant. Of all patients, ۲۸ (۴.۷%) had urinary retention after surgery and the difference between the two groups was significant (p=۰.۰۱). Of all patients, ۹۱ (۱۵.۲%) had pain after three weeks and ۲۹ (۴.۸%) had pain after six months.Conclusion: The results showed that the new method had less complications concerning post-operative pain and urinary retention in comparison with the Liechtenstein method as an acceptable method for inguinal hernia repair in future.

کلیدواژه ها:

Relapse ، Complications ، Liechtenstein technique ، Inguinal hernia ، Repair