Research Article
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Year 2021, Volume: 7 Issue: 3, 326 - 331, 04.05.2021
https://doi.org/10.18621/eurj.870267

Abstract

References

  • 1. Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am 2003;83:1045-51.
  • 2. Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide prevalence of groin hernia repair. PLoS One 2013;8:e54367.
  • 3. Ohene-Yeboah M, Beard JH, Frimpong-Twumasi B, Koranteng A, Mensah S. Prevalence of inguinal hernia in adult men in the Ashanti region of Ghana. World J Surg 2016;40:806-12.
  • 4. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet 2003;362:1561-71.
  • 5. Ansari FM, Hameed T, Jain SK, Dua A, Nizam A. Comparison of outcome of Desarda versus Bassini repair in management of complicated inguinal hernia. Int Surg J 2019;6:3889-96.
  • 6. Tajti J Jr, Pieler J, Ábrahám S, Simonka Z, Paszt A, Lázár G. Incarcerated gallbladder in inguinal hernia: a case report and literature review. BMC Gastroenterol 2020:14;20:425.
  • 7. Malik AM, Khan A, Jawaid A, Laghari AA, Talpur KA. A comparative analysis between non-mesh (Bassini's) and mesh (Lichtenstein) repair of primary inguinal hernia. J Ayub Med Coll Abbottabad 2009;21:17-20.
  • 8. Economopoulos KJ, Milewski MD, Hanks JB, Hart JM, Diduch DR. Sports hernia treatment: modified bassini versus minimal repair. Sports Health 2013;5:463-9.
  • 9. Suradom C, Palaphun J. The usage of two umbrella made-mesh plugs in herniorrhaphy: comparative study with Bassini and Lichtenstein method. J Med Assoc Thai 2011;94:1373-9.
  • 10. Patil SM, Gurujala A, Kumar A, Kumar KS, Mithun G. Lichtenstein mesh repair (LMR) v/s modified Bassini's repair (MBR) + Lichtenstein mesh repair of direct inguinal hernias in rural population - A comparative study. J Clin Diagn Res 2016;10:PC12-5.
  • 11. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009;13:343-403.
  • 12. HerniaSurge Group. International guidelines for groin hernia management. Hernia 2018;22:1-165.
  • 13. Watson B, Roberts J, Dobbs B, Roberts R. Is inguinal hernia mesh safe? A prospective study. ANZ J Surg 2020;90:538-41.
  • 14. Ran K, Wang X, Zhao Y. Open tensionless repair techniques for inguinal hernia: a meta-analysis of randomized controlled trials. Hernia 2020;24:733-45.
  • 15. Finch DA, Misra VA, Hajibandeh S. Open darn repair vs open mesh repair of inguinal hernia: a systematic review and meta-analysis of randomised and non-randomised studies. Hernia 2019;23:523-39.
  • 16. Memon GA, Shah SKA, Habib-Ur-Rehman. An experience with mesh versus darn repair in inguinal hernias. Pak J Med Sci 2017;33:699-702.
  • 17. Pawlak M, Newman M, de Beaux AC, Tulloh B. The darn technique for small (< 2 cm diameter) midline hernias. Hernia. 2020 Sep 2. doi: 10.1007/s10029-020-02283-7.
  • 18. Olaogun JG, Afolayan JM, Areo PO, Ige JT. Repair of groin hernia under local anaesthesia in secondary health facility. ANZ J Surg 2018;88:E294-7.
  • 19. Abd El Maksoud W, Abd El Salam M, Ahmed HH. Comparative study between Lichtenstein procedure and modified darn repair in treating primary inguinal hernia: a prospective randomized controlled trial. Hernia 2014;18:231-6.
  • 20. Bhatti AZ, Rasool MI. Darning versus Bassini repair in primary unilateral inguinal hernia. J Coll Physicians Surg Pak 2002;12:169-71.
  • 21. Haastrup E, Andresen K, Rosenberg J. Low reoperation rates in young males after suture repair of indirect inguinal hernia: Arguments for a tailored approach. Am J Surg 2017;214:844-8.
  • 22. Aasvang E, Kehlet H. Chronic postoperative pain: the case of inguinal herniorrhaphy. Br J Anaesth 2005;95:69-76.
  • 23. Poobalan AS, Bruce J, King PM, Chambers WA, Krukowski ZH, Smith WC. Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 2001;88:1122-6.
  • 24. Ivanov D, Babović S, Ivanov M. Nylon-Darn herniorrhaphy: the method of choice in treatment of primary inguinal hernia. Med Pregl 2008;61:566-70.

Long-term outcomes of tension-free repair for the primary inguinal hernias

Year 2021, Volume: 7 Issue: 3, 326 - 331, 04.05.2021
https://doi.org/10.18621/eurj.870267

Abstract

Objectives: Mesh repair is the gold standard in inguinal hernia (IH) repair. If suture repair is to be performed, the common view is to apply tension-free repair. The aim of our study was to analyze retrospectively the changes in primary IH repair at our clinic in 24-years period with regard to the surgical techniques used, patient demographics, complications, and duration of hospital stay.


Methods:
The study is based on retrospective analyses of IH repair in 1020 patients in two different periods. In the first period of the study, between 1997-1999 Modified Bassini (MB) method was used for suture repair and Lichtenstein (LH) method was used for mesh repair. In the second period of the study, between 2017-2019, LH method was used for mesh repair and Posterior Wall Darn (PWD) method was used for suture repair.


Results:
The rates of postoperative complications were high and time to return to work was longer in suture repair with MB. Less postoperative complications, shorter time to return to work and less recurrence were observed in the PWD method compared to MB.


Conclusions:
Suture repair is a preferable option only in relevant cases and these must be tension free repair techniques such as PWD. When required, suture repairs could be successfully performed with low complication and recurrence rates, similar to mesh repairs by experienced surgical teams.

References

  • 1. Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am 2003;83:1045-51.
  • 2. Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide prevalence of groin hernia repair. PLoS One 2013;8:e54367.
  • 3. Ohene-Yeboah M, Beard JH, Frimpong-Twumasi B, Koranteng A, Mensah S. Prevalence of inguinal hernia in adult men in the Ashanti region of Ghana. World J Surg 2016;40:806-12.
  • 4. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet 2003;362:1561-71.
  • 5. Ansari FM, Hameed T, Jain SK, Dua A, Nizam A. Comparison of outcome of Desarda versus Bassini repair in management of complicated inguinal hernia. Int Surg J 2019;6:3889-96.
  • 6. Tajti J Jr, Pieler J, Ábrahám S, Simonka Z, Paszt A, Lázár G. Incarcerated gallbladder in inguinal hernia: a case report and literature review. BMC Gastroenterol 2020:14;20:425.
  • 7. Malik AM, Khan A, Jawaid A, Laghari AA, Talpur KA. A comparative analysis between non-mesh (Bassini's) and mesh (Lichtenstein) repair of primary inguinal hernia. J Ayub Med Coll Abbottabad 2009;21:17-20.
  • 8. Economopoulos KJ, Milewski MD, Hanks JB, Hart JM, Diduch DR. Sports hernia treatment: modified bassini versus minimal repair. Sports Health 2013;5:463-9.
  • 9. Suradom C, Palaphun J. The usage of two umbrella made-mesh plugs in herniorrhaphy: comparative study with Bassini and Lichtenstein method. J Med Assoc Thai 2011;94:1373-9.
  • 10. Patil SM, Gurujala A, Kumar A, Kumar KS, Mithun G. Lichtenstein mesh repair (LMR) v/s modified Bassini's repair (MBR) + Lichtenstein mesh repair of direct inguinal hernias in rural population - A comparative study. J Clin Diagn Res 2016;10:PC12-5.
  • 11. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009;13:343-403.
  • 12. HerniaSurge Group. International guidelines for groin hernia management. Hernia 2018;22:1-165.
  • 13. Watson B, Roberts J, Dobbs B, Roberts R. Is inguinal hernia mesh safe? A prospective study. ANZ J Surg 2020;90:538-41.
  • 14. Ran K, Wang X, Zhao Y. Open tensionless repair techniques for inguinal hernia: a meta-analysis of randomized controlled trials. Hernia 2020;24:733-45.
  • 15. Finch DA, Misra VA, Hajibandeh S. Open darn repair vs open mesh repair of inguinal hernia: a systematic review and meta-analysis of randomised and non-randomised studies. Hernia 2019;23:523-39.
  • 16. Memon GA, Shah SKA, Habib-Ur-Rehman. An experience with mesh versus darn repair in inguinal hernias. Pak J Med Sci 2017;33:699-702.
  • 17. Pawlak M, Newman M, de Beaux AC, Tulloh B. The darn technique for small (< 2 cm diameter) midline hernias. Hernia. 2020 Sep 2. doi: 10.1007/s10029-020-02283-7.
  • 18. Olaogun JG, Afolayan JM, Areo PO, Ige JT. Repair of groin hernia under local anaesthesia in secondary health facility. ANZ J Surg 2018;88:E294-7.
  • 19. Abd El Maksoud W, Abd El Salam M, Ahmed HH. Comparative study between Lichtenstein procedure and modified darn repair in treating primary inguinal hernia: a prospective randomized controlled trial. Hernia 2014;18:231-6.
  • 20. Bhatti AZ, Rasool MI. Darning versus Bassini repair in primary unilateral inguinal hernia. J Coll Physicians Surg Pak 2002;12:169-71.
  • 21. Haastrup E, Andresen K, Rosenberg J. Low reoperation rates in young males after suture repair of indirect inguinal hernia: Arguments for a tailored approach. Am J Surg 2017;214:844-8.
  • 22. Aasvang E, Kehlet H. Chronic postoperative pain: the case of inguinal herniorrhaphy. Br J Anaesth 2005;95:69-76.
  • 23. Poobalan AS, Bruce J, King PM, Chambers WA, Krukowski ZH, Smith WC. Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 2001;88:1122-6.
  • 24. Ivanov D, Babović S, Ivanov M. Nylon-Darn herniorrhaphy: the method of choice in treatment of primary inguinal hernia. Med Pregl 2008;61:566-70.
There are 24 citations in total.

Details

Primary Language English
Subjects Surgery
Journal Section Original Articles
Authors

Fatih Büyüker This is me 0000-0003-1288-4299

Hakan Baysal This is me

Salih Tosun 0000-0002-5033-4477

Publication Date May 4, 2021
Submission Date January 29, 2021
Acceptance Date February 23, 2021
Published in Issue Year 2021 Volume: 7 Issue: 3

Cite

AMA Büyüker F, Baysal H, Tosun S. Long-term outcomes of tension-free repair for the primary inguinal hernias. Eur Res J. May 2021;7(3):326-331. doi:10.18621/eurj.870267

e-ISSN: 2149-3189 


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