DOI: http://dx.doi.org/10.18203/2349-2902.isj20210367

Post-operative complications and pain comparison between modified Bassini’s repair and Lichtestein’s hernioplasty in inguinal hernia repair

Sunil Kumar, Sreenivasa .

Abstract


Background: Modified Bassini’s repair and the Lichtenstein’s tension free mesh hernioplasty are commonly used hernia repair techniques and yet there is no uniform opinion as to which is the best technique. This study was undertaken to compare the postoperative complications so as to determine the best suitable of the two procedures.

Methods: A comparative randomized study was conducted on a total of 80 patients reporting to our hospital with inguinal hernia and were subjected to detailed examination, operated upon by either of technique and followed up. The post operative complications & pain were observed, analyzed and compared with other similar studies.

Results: In this randomised study pain after 12 and 24 hours was significantly less in the Lichtenstein’s group when compared with Modified Bassini’s repair. However there was no significant difference at 36 hours. Chronic pain after 1, 3 & 6 months was also not significant.

Conclusions: The Lichtenstein’s hernioplasty was comparatively better than Modified Bassini’s repair due to its simplicity, less dissection, lesser complications & lesser early pain and chronic pain in our study.


Keywords


Inguinal hernia, Mesh, Modified Bassini’s repair

Full Text:

PDF

References


Ira M Rutkow. A selective history of groin hernia surgery in the early 19th century. The anatomic atlases of Astley Cooper, Franz Hesselbach, Antonio Scarpa and Jules Germain Cloquet Surgical Clinics of North America. 1998;78(6):921-40.

Lichtenstein IL. Hernia repair without disability: A surgical atlas illustrating the anatomy, technique and physiologic rationale of the One Day Hernia. Saint Louis: The C.V. Mosby Company. 1970:1274-1279.

Read RC. The centenary of Bassini’s contribution to inguinal herniorrhaphy. Am J Surg. 1987;153(3):324-6.

Lichtenstein H, Amid PK, Shulman AG. The iliopubic tract - The key to inguinal herniorrphy. Int Surg. 1990;75(4):244-6.

Lichtenstein IL. Hemiorrhaphy. A personal experience with 6,321 cases. Ame J Surg. 1987;153:553-9.

Harjai MM, VSM BN, Singh P, VSM YS. A prospective randomized controlled study of Lichtenstein’s tension free versus modified Bassini repair in the management of groin hernias: MJAFI. 2007;63:40-3.

Csontos Z, Kassai M, Lukacs L et al. The results of Lichtenstein operation for groin hernias - prospective multicenter study. Magy Seb. 2005;58(4):219-24.

Faish T. Early results of inguinal hernia repair by mesh plug technique - first 200 cases. Annals Royal Coll Surg. 2000; 82:396-400

Lt Col MM Harjai, Brig BM Nagpal. A Prospective Randomized Controlled Study of Lichtenstein’s Tension Free versus Modified Bassini Repair in the Management of Groin Hernias: MJAFI. 2007;63:40-3.

McGillicuddy JE. Prospective Randomized Comparison of The Modified Bassini’s and Lichtenstein’s Hernia. Repair Procedures: Arch Surg. 1998;133:974-8.

Nordin P, Bay-Nielson M, Nilsson E, Kehlet H. Operative findings in recurrent hernia after a Lichtestein’s Procedure Am J Surg. 2001;182:134-6.

Callesen, Beck, Andersen. Pain after primary hemiorrhaphy-Influence of Surgical technique. J Ame Coll Surg. 1999;188(4):385-9.

Dworkin RH, Turk DC, Farrar JT. Core outcome measures for chronic pain clinical trials: IMMPACT recommendations. 2005;113:9

Paul A, Troidl II, Williams JI, Rixen D, Langen R. Randomized trial of modified Bassini Versus Shouldice inguinal hernia repair. Br J Surg. 1994;81:1531-4.