Abstract
Background: Lichtenstein hernioplasty is currently considered Gold Standard for inguinal hernia repair. As per recent studies the early complications of emergency Lichtenstein hernioplasty are wound seroma, ischemic orchitis, neuralgic pain, urinary infection, hematoma, local ecchymoses, testicular swelling, hydrocele, post operative fever and wound infection. The purpose of this study is to analyze the early postoperative complications of emergency Lichtenstein hernioplasty in a tertiary health center in North Kerala.
Aim of Study: To study the early postoperative complications of emergency Lichtenstein hernioplasty and the risk factors and comorbidities that predisposes to these complications.
Materials and Methods: A prospective study conducted in 100 patients admitted in the emergency Department of Surgery in Govt. Medical College, Kozhikode.
Results: Superficial Surgical Site Infections (SSI) are found to be most common post operative complications (9%) followed by urinary tract infection, hematoma, seroma, ipsilateral scrotal edema and significant inguinal pain. COPD and smoking are the comorbidity and risk factor associated with complication of emergency hernioplasty and no significant correlation found between other risk factors, comorbidities and complications.
Keywords: Lichtenstein repair, complications of hernioplasty, Emergency hernioplasty.
References
- Lichtenstein IL, Shulman AG, Amid PK, Montflor MM. The tension-free hernioplasty. Am J Surg 1989; 157:188 e93.
- Klein Carl H Von American Medical Association Journal. 1905, v.45, p-1928-1935.
- Wantz GE. Experience with the tension-free hernioplasty for primary inguinal hernias in men. J Am Coll Surg 1996; 183:351 e6.
- George H Sakorafas et el. Open tension free repair of hernias: the Lichenstein technique BMC Surg.2001; 1:3 p 1471-2482.
- Hernandez-Granados P, Ontan˜ on M, Lasala M, Garcia C,Arguello M, Medina I. Tension-free hernioplasty in primary inguinal hernia: a series of 2054 cases. Hernia2000;4:141 e3
- Friis E, Lindahl F. The tension-free hernioplasty in a randomized trial. Am J Surg 1996; 172:315 e9.
- Amid PK. Lichtenstein tension-free hernioplasty: its incep-tion, evolution, and principles. Hernia2004; 8 :1 e7.
- Josef E. Fisher, Kirby I. Bland, Mastery of surgery, 6th edition, 2012
- J.F: National University of colombiya: Department of surgery ,Santa Fe foundation of Bogota,Bogota, Colombia.
- Kulah B, Kulacoglu IH, Oruc MT et al. Presentation and outcome of incarcerated external hernias in adults. Am J Surg 2001 Feb;181(2):101-104.
- Naeem M, Khan SM, Qayyum A, Jan WA, Jehanzeb M, Mehmood K. Recurrence of inguinal hernia mesh repair. J Postgrad Med Inst 2009; 23: 254-57.
- http://www.cdc.gov/nhsn/pdfs/pscmanual/9pscssicurrent.pdf.accessed on12/08/2013
- Mahmood Z, Imiran M, Shah TA. Results of open mesh hernioplasty (Lichtenstein) for inguinal hernia: a study of 120 cases at Ghurki Tust Teaching Hospital Lahore. East & Central African Journal of Surgery. 2006;11(2):28-34.
- Khan N, Naeem M, Bangash A, Asadullah, Sadiq M, Hamid H. Early outcome of Lichtenstein technique of tension-free open mesh repair for inguinal hernia. J Ayub Med Coll Abbottabad. 2008 Oct-Dec;20(4):29-33.
- Paajanen H, Varjo R. Ten-year audit of Lichtenstein hernioplasty under local anaesthesia performed by surgical residents. BMC surgery.10(1):24.
- Khan N, Naeem M, Bangash A, Asadullah, Sadiq M, Hamid H. Early outcome of Lichtenstein technique of tension-free open mesh repair for inguinal hernia. J Ayub Med Coll Abbottabad. 2008 Oct-Dec; 20(4):29-33.
Corresponding Author
Sheena Krishnan
Department of Microbiology, Government Medical College,
Kozhikode, Kerala, India
Mobile Number: +919847193171, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.