Year 2019, Volume 5, Issue 1, Pages 1317 - 1324 2019-04-15

CLASSIFICATION OF THE 355 OPERATED INGUINAL HERNIA AND THE POSTOPERATIVE EVALUATION OF THE LICHTENSTEIN METHOD
Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study

Tayfun Bilgiç [1]

30 83

Amaç: Bu çalışmanın amacı kliniğimizde inguinal herni nedeniyle opere edilen hastaların analizini yapmak ve hastanın hastanede kalış süresini, post operatif rahatsızlığını, iyileşme süresini ve “Lichtenstein-tension-free” gerilimsiz greft ile herni tamiri operasyon yönteminin erken ve geç komplikasyonlarını tespit etmektir.

Yöntem: Genel Cerrahi Kliniği’ne son 24 ay içerisinde başvuran ve inguinal herni tanısı ile “Lichtenstein-tension-free” ameliyat yöntemi ile opere edilen 355 hasta çalışmaya dahil edilmiştir.

Bulgular: Çalışmaya alınan hastalardaki ameliyat eksplorasyon bulgusu değerlendirildiğinde 194 (%54.7) hastada indirekt, 102 (%28.8) hastada direkt, 24 (%6.7) hastada pantolon ve 35 (%9.8) hastada femoral herni olduğu saptandı. Postoperatif takip edilen hastalarda görülen erken komplikasyonlardan en sık spinal anesteziye bağlı gelişen idrar retansiyonu (25 hasta, %7) gözlendi. Çalışmaya dahil edilen hastaların geç dönem komplikasyonları sorgulandığında; 3 hastada nöralji (%0.8), 2 hastada (%0.5) testiküler atrofi, 1 hastada (%0.2) mesh reaksiyonu ve 4 hastada nüks (%1.1) saptandı.

Sonuç: Lichtenstein yöntemi modern ameliyat yönteminin gerektirdiği tüm istekleri karşılar ve neredeyse sıfıra yakın nüks oranı bulunmaktadır

Aim: The aim of this retrospective study was to evaluate of 335 inguinal hernia repair by Lichtenstein technique in elective inguinal hernia management.

Materyal and Methods: Three hundred fifty-five patients who administered to the General Surgery Clinic between Jan 2004 and Jan 2006 underwent inguinal hernia repair with the “Lichtenstein-tension-free” surgery technique were retrospectively evaluated in respect to demographics, recurrence and postoperative complications. Follow-up data were obtained from hospital charts, recurrence and late complications were evaluated in telephone interview.

Results: 313 patients out of 355 were (88.2%) men and 42 (11.8%) were women. The mean age was 54 years (ranged 21-76 years). The hernia was on the right side in 241 patients (67.9%) and on the left side in 91patients (25.6%). 194 of 355 (54.7%) patients have indirect hernia. The postoperative mean hospital stay was 1.1 days (range 1-3 days). The most common postoperative early complication was urinary retantion.  The late period complications including chronic pain in 3 patients (0.8 %), testicular atrophy in 2 patients (0.5 %), and recurrence in 4 patients (1.1%).

Conclusion: this study shown that Lichtenstein technique for inguinal hernia repair  is a safe and feasible surgery method in respect to 1.1% recurrence and 22.6% overall post-operative complication rate. 

  • 1. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet 2003;362(9395):1561-71.
  • 2. Palermo M, Acquafresca PA, Bruno M, Tarsitano F. Hernioplasty with and without mesh: analysis of the immediate complications in a randomized controlled clinical trial. Arq Bras Cir Dig 2015;28(3):157-60.
  • 3. Amid PK, Lichtenstein IL. Current assessment of Lichtenstein tension-free hernia repair. Chirurg 1997; 68(10):959-64.
  • 4. Pielaciński K, Wróblewski T, Wójtowicz J. Results of inguinal hernia repair by Lichtenstein method in material of Surgical Ward of the District Hospital in Żyrardow. Videosurgery Miniinv 2007;2(6):66–75.
  • 5. Liu Y, Shen Y, Chen J. Effects of non-woven mesh in preperitoneal tension-free inguinal hernia repair: a retrospective cohort study. Minerva Chir 2017;72(4):311-6.
  • 6. Reinpold W, Chen D. Evidence-based Lichtenstein technique. Chirurg 2017;88(4):296-302.
  • 7. Lichtenstein IL, Shulman AG, Amid PK, Montlor MM. The tension-free hernioplasty. Am J Surg 1989; 157(2):188-93.
  • 8. Rahul B.G, Ravindranath G.G. Incidence of inguinal hernia and its type in a study in a semiurban area in Andhra Pradesh, India. Int Surg J 2016;3(4):1946-9.
  • 9. Ruthlege RH, Cooper’s Ligament repair, a 25 year expriens with a single technique for all groin hernias in adults, Surgery 1988;103: 1-10.
  • 10. Arat IR, Fıtıklar, in: Değerli Ü (Ed) Genel Cerrahi. İst, Ed, İstanbul Tıp Fak, 461-88.
  • 11. S Aldoescu, T Patrascu, I Brezean. Predictors for length of hospital stay after inguinal hernia surgery. J Med Life 2015; 8(3): 350–5.
  • 12. Simons MP, Aufenacker T, Bay-Nielsen M, and et all. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009; 13(4): 343–403.
  • 13. Prakash D, Heskin L, Doherty S, Galvin R. Local anaesthesia versus spinal anaesthesia in inguinal hernia repair: A systematic review and meta-analysis. Surgeon 2017;15(1):47-57.
  • 14. Narkhede R, Shah NM, Dalal PR, Mangukia C, Dholaria S. Postoperative Mesh Infection— Still a Concern in Laparoscopic Era. Indian J Surg 2015;77(4):322-6.
  • 15. Paton BL, Novitsky YW, Zerey M, Sing RF, Kercher KW, Heniford BT. Management of infections of polytetrafluoroethylene-based mesh. Surg Infect (Larchmt) 2007;8(3):337–41.
  • 16. Serbetci K, Kulacoglu H, Devay AO, Hasirci N. Effects of resterilization on mechanical properties of polypropylene meshes. Am J Surg 2007;194(3):375-9.
  • 17. Zhiyong Dong, Stacy Ann Kujawa, Cunchuan Wang, Hong Zhao. Does the use of hernia mesh in surgical inguinal hernia repairs cause male infertility? A systematic review and descriptive analysis. Reprod Health. 2018; 15: 69.
  • 18. Martin F Bjurstrom, Andrea L Nicol, Parviz K Amid, David C Chen. Pain control following inguinal herniorrhaphy: current perspectives. J Pain Res 2014;7: 277-90.
  • 19. Macrae WA, Davies HTO. Chronic postsurgical pain. In: Crombie IK, Croft PR, Linton SJ, LeResche L, Von Korff M, editors. Epidemiology of Pain. Seattle: IASP Press; 1999. pp. 125–142.
  • 20. Nordin P, van der Linden W. Volume of procedures and risk of recurrence after repair of groin hernia: national register study. BMJ 2008;336(7650):934–7.
  • 21. The HerniaSurge Group Hernia. International guidelines for groin hernia management 2018; 22(1): 1–165.
  • 22. Eklund AS, Montgomery AK, Rasmussen IC, Sandbue RP, Bergkvist LA, Rudberg CR. Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5-year follow-up. Ann Surg. 2009;249(1):33-8.
Primary Language en
Subjects Health Care Sciences and Services
Journal Section Araştırma/Research
Authors

Orcid: 0000-0002-7564-3663
Author: Tayfun Bilgiç
Institution: Acibadem Kadikoy Hospital
Country: Turkey


Dates

Publication Date: April 15, 2019

Bibtex @research article { adiyamansaglik474539, journal = {Adıyaman Üniversitesi Sağlık Bilimleri Dergisi}, issn = {}, eissn = {2458-9179}, address = {Adıyaman University}, year = {2019}, volume = {5}, pages = {1317 - 1324}, doi = {10.30569/adiyamansaglik.474539}, title = {Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study}, key = {cite}, author = {Bilgiç, Tayfun} }
APA Bilgiç, T . (2019). Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi, 5 (1), 1317-1324. DOI: 10.30569/adiyamansaglik.474539
MLA Bilgiç, T . "Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study". Adıyaman Üniversitesi Sağlık Bilimleri Dergisi 5 (2019): 1317-1324 <http://dergipark.org.tr/adiyamansaglik/issue/43834/474539>
Chicago Bilgiç, T . "Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study". Adıyaman Üniversitesi Sağlık Bilimleri Dergisi 5 (2019): 1317-1324
RIS TY - JOUR T1 - Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study AU - Tayfun Bilgiç Y1 - 2019 PY - 2019 N1 - doi: 10.30569/adiyamansaglik.474539 DO - 10.30569/adiyamansaglik.474539 T2 - Adıyaman Üniversitesi Sağlık Bilimleri Dergisi JF - Journal JO - JOR SP - 1317 EP - 1324 VL - 5 IS - 1 SN - -2458-9179 M3 - doi: 10.30569/adiyamansaglik.474539 UR - https://doi.org/10.30569/adiyamansaglik.474539 Y2 - 2019 ER -
EndNote %0 Health Sciences Journal of Adıyaman University Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study %A Tayfun Bilgiç %T Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study %D 2019 %J Adıyaman Üniversitesi Sağlık Bilimleri Dergisi %P -2458-9179 %V 5 %N 1 %R doi: 10.30569/adiyamansaglik.474539 %U 10.30569/adiyamansaglik.474539
ISNAD Bilgiç, Tayfun . "Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study". Adıyaman Üniversitesi Sağlık Bilimleri Dergisi 5 / 1 (April 2019): 1317-1324. https://doi.org/10.30569/adiyamansaglik.474539
AMA Bilgiç T . Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi. 2019; 5(1): 1317-1324.
Vancouver Bilgiç T . Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study. Adıyaman Üniversitesi Sağlık Bilimleri Dergisi. 2019; 5(1): 1324-1317.