Comparative Study of Prolene Hernia System and Lichtenstein Method for Open Inguinal Hernia Repair
Published: June 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.6009
Mayank Badkur, Nitin Garg
1. Resident, Department of General Surgery, People’s College of Medical Sciences and Research Centre, Bhanpur Bhopal, Madhy Pradesh, India.
2. Associate Professor, Department of General Surgery, People’s College of Medical Sciences and Research Centre, Bhanpur Bhopal, Madhy Pradesh, India.
Correspondence
Dr. Nitin Garg,
Associate Professor, Department of General Surgery, People’s College of Medical Sciences and Research Centre,
Bhanpur Bhopal, Madhy Pradesh, India.
E-mail : drnitin75@gmail.com
Background: Prolene Hernia System (PHS) is a bi-layered
polypropylene mesh with a connector that combines the anterior
and posterior inguinal hernia repair, but still not very popular
in this part of the country. Hence a prospective & randomized
comparative study was undertaken to compare PHS with the
already popular Lichtenstein Hernia Repair (LHR) and determine
the post-operative outcome.
Materials and Methods: Total 67 inguinal hernia repairs were
randomly assigned to either PHS or LHR method, and data was
collected regarding various outcome measures like duration of
surgery, post-operative pain, requirement of analgesia, return to
normal activity, and early and late complications.
Results: Mean duration of surgery was significantly higher for
PHS group than LHR group (65.4 min vs 51.26 min, p-value
< 0.0001). Significant difference was noted between the PHS
and LHR group in terms of moderate to severe post-operative
pain (15.15% vs 41.18%,p-value 0.018), time of requirement of
analgesia (3.7 vs 4.6 days, p-value 0.024), and time to return
to normal activity (2.7 vs 3.4 days, p-value 0.023), all in favour
of the former technique. No intra-operative complication was
noted in either of the groups. 5 patients had early complications
in PHS group and 6 in LHR group, but this was statistically not
significant. The average time of follow-up for the study was 7.8
month, ranging from 1 to 18 months. Chronic inguinal pain was
noted in 1 and 2 patients respectively in PHS and LHR group,
again statistically not significant. No recurrence was noted in
both the groups till the time of follow-up.
Conclusion: PHS is a safe and better alternative to the time
honored Lichtenstein hernia repair with the added advantage
of strengthening whole of myopectineal orifice, and virtually
eliminating any risk of recurrence.
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