ABSTRACT
Introduction: Trans Abdominal Pre Peritoneal repair versus Open hernioplasty remains a debated question especially in resource limited setups. Our data will help in evaluating the outcome of these procedures and formulating management decisions. Methods: OT records of a three year span of patients who were followed up for at least 1 year were analysed. Patients who underwent TAPP were compared to a control group and various outcome parameters were evaluated. Results: 30 patients were listed (males = 20, females = 10). Signicant difference was found in duration of surgery, rates of surgical site infection, seroma formation, pain at discharge and duration of hospital stay. No signicant difference was found in terms of chronic pain, recurrence and mesh infection. Conclusion: TAPP offers excellent benets against open hernioplasty even with conventional instruments. Long term results need to be evaluated with studies with longer follow ups.
ABSTRACT
Background: To compare the effectiveness of the two different methods of inguinal hernia repairs viz. The Lichtenstein hernioplasty and Rutkow-Robbins method of hernioplasty. To compare the results of these two techniques and complications if any, and to arrive at a conclusion as to the better modality of treatment in the present setup. Methods: Total 50 patients of uncomplicated direct and indirect inguinal hernia were included in the study, they were randomly chosen for two different surgeries–The Lichtenstein hernioplasty and Rutkow-Robbins method of hernioplasty, 25 cases each. The relevant data regarding age/sex incidence, mode of presentation, surgical treatment and postoperative complications were recorded on predesigned proforma and analysed. The patients were followed up after 7 days, 15 days, 1 month, 3 months and 6 months thereafter. Results: The mean operative time for Lichtenstein hernioplasty group was 57 minutes, and 47 minutes for the Rutkow-Robbins hernioplasty group. Rest of the observational findings were comparable without any significant difference. Conclusion: The Rutkow-Robbins method of hernioplasty can be completed easily and more quickly with significant reduction in the operative time than Lichtenstein hernioplasty. Incidences of Intra operative and post operative complications as well as overall results of procedures were all comparable without any significant difference.
ABSTRACT
La hernia inguinal es la enfermedad quirúrgica más tratada de forma electiva en muchos centros de salud, la complejidad de su tratamiento varía en dependencia de varios factores, dentro de estos el tamaño de la hernia y la anatomía local deformada son de los más influyentes. El uso de las prótesis simplificó su tratamiento, pero se deben cumplir principios quirúrgicos establecidos pues la recurrencia luego de la colocación de una prótesis distorsiona aun más la anatomía. Se presenta el caso de un paciente masculino de 78 años de edad, de raza blanca, intervenido de urgencia por hernia inguinal primaria atascada, donde se le realizó una plastia tipo Lichtenstein. Dos años después acude a consulta portando una hernia inguinal reproducida que rebasa el tercio distal del muslo, se prepara para la operación y se le realiza una plastia por vía posterior tipo Stoppa, la evolución postoperatoria fue favorable y a los seis años de operado se encuentra libre de la enfermedad.
The inguinal hernia is the surgical disease most treated in an elective way in many health care institutions. Its treatment difficulty changes in dependence on several factors; the hernia size and the deformed local anatomy are the most important of them. The usage of prosthesis simplified its treatment, but there are established surgical principles that have to be fulfilled, because the recurrence after placing prosthesis distorts the anatomy even more. We present the case of a white male patient aged 78 years old, surgically treated in emergency by an obstructed primary inguinal hernia. It was used the Lichtenstein technique. Two years later he assisted to the consultation presenting a reproduced inguinal hernia exceeding the distal third of the thigh. He was prepared for the surgery and was operated by the posterior port using the Stoppa type surgery. The post surgery evolution was favorable, and after six year of the surgery he is free of the disease.