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Category: Volume 07 Issue 01 January 2019
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Title: Comparison of Outcome between Lightweight Mesh v/s Heavy Weight Mesh in Lichtenstein Hernia Repair

Authors: Verma V K, Gangji A, Chandel H

 DOI: https://dx.doi.org/10.18535/jmscr/v7i1.150

Abstract

Aim: Lichtenstein Inguinal hernia repair is one of the most common surgical procedures performed throughout the world. Albeit a number of techniques have been described but at present Lichtenstein tension free mesh repair is the standard of care in the treatment of inguinal hernia.. This study aims to compare the heavy and light weight meshes used in their management.

Material & Methods: This is a  prospective comparative study on outcomes between Heavy (Polypropylene) and light (Polypropylene+polyglactin) weight mesh in Lichtenstein repair of inguinal hernia patients admitted in Department of Surgery, J.A. Group of hospital associated with Gajra Raja Medical College, Gwalior from April.2017-Dec.2018. Comprising 30 patients in each group

Results: A total of 60 patients were studied (30 patients in each group). Age group of 31-50 yrs had highest incidence of inguinal hernia. Males are more commonly affected by inguinal hernia than females. Foreign body sensation in heavy mesh group is significantly higher than light mesh group. Average of 15.00% of the patients had foreign body sensation in Heavy mesh group, where as in light group average was 10%. Chronic pain was also more common in heavy mesh group. Stiffness around incisional site was complained by 10% of overall patients in the heavy mesh group whereas no patients had this complaint in light mesh group. Recurrence was neither seen in heavy mesh group nor in light weight mesh group patients.

Conclusion: Inguinal hernia is seen predominantly in elderly male population, most common complications after inguinal hernia surgeries are Chronic pain, Foreign body sensation, Recurrence, Stiffness around incisional site. In my study light mesh has been proved to be better than heavy mesh to be used as prosthesis in inguinal hernia

Keywords: Comparative, Hernia, Heavy, Light, Lichtenstein, Polypropylene, Polypropylene+polyglactin

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Corresponding Author

Dr Himanshu Chandel

Associate Professor, Department of Surgery, Gajra Raja Medical College, Gwalior, MP, India