COMPARISON BETWEEN MESH REPAIR LICHTENSTEIN WITH NO MESH REPAIR DARN IN INGUINAL HERNIA IN TERMS OF MEAN OPERATIVE TIME

ABSTRACT
Background: Inguinal hernia is among the most common problems encountered by general surgeons and may have
significant complications. Inguinal hernia mesh repair, although probably providing superior results with regards recurrence
rate.
Objective: To compare mean operative time between mesh repair (LHR) with no mesh repair Darn in inguinal hernia.
Material and Methods: This randomized controlled trial of 15 months duration has been conducted at Surgical
Department, Hayatabad Medical Complex, Peshawar from January, 2016 to April, 2017. In this study a total of 286
patients were observed(143 in each group). The diagnosis of inguinal hernia was based upon on clinical examination.
Complete history was taken from all patients followed by complete physical examination and routine pre operative
baseline investigations. Mean operative time between mesh repair (LHR) with no mesh repair darn in inguinal hernia
was observed and was recorded in proforma.
Results: Mean age was 39 year ± 2.37SD in group A and in Group B mean age was 40 year ± 3.12SD. In Group A,
97.91% patients were male and 2.09% patients were female and in Group B, 98.60% patients were male and 1.40%
patients were female. More over mean operative time was significantly low in group A as compare to group B {35
minutes ± 17.03SDvs 50 minutes ± 19.76SD; P= 0.0001}.
Conlcusion: Mesh repair (Lichtenstein technique) is more effective and had less operative time as compare to no Mesh
repair (Darning technique) in the treatment of inguinal hernia repair.
Key Words: Lichtenstein, Darning, inguinal hernia repair.