PP 31. Lichtenstein Versus Lichtenstein Plus Plug In Open Hernia Repair

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H. Koray Sezer, G. Celikkol

18:10 - 18:16h at Margrit Room

Categories: Abdominal Wall and Hernia, Plastic and Reconstructive Surgery, Poster Session

Session: Poster (P3) - Abdominal Wall & Hernia / Plastic & Reconstructive Surgery

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Background
Altough the Lichtenstein technique is currently the gold standard of hernia repair for anterior approach with a high level of evidence, Lichtenstein plus plug technique is currently gaining popularity in new treatment trends. The aim of the study is comparing the outcomes of two surgical procedures (Lichtenstein tecnique (LT) and Lichtenstein plus plug technique (LPPT).

Material and Methods
Prospectively collected records of fifty two patients who underwent surgical treatment for inguinal hernia from May 2009 to January 2011 were retrospectively assessed. Patients were divided into two groups, LT (n =27) and LPPT (n=25). Operation time, complications( wound infection, collection), scrotal-related complications (edema, orchitis or hydrocele), postoperative pain score, length of hospital stay, time to return to normal activity, time to return to work, recurrence rates, chronic pain were compared between the two groups. All patients were seen and data were collected after 2 weeks, 6 months and 2 years.

Result
The median age was 27,59 (20-65). Eight patients had recurrence hernia. Twelve patients had Nyhus type 3A hernia. In our study, operation time was found similar in both of the two groups (LT=45.2 minute, LPPT: 43.6 minute). Also no recurrence was found in both groups for 2 years follows-up and no significant differences between the two groups were determined.

Conclusion
In our study results were found similar in both groups. There were no significant differencesbetween the 2 groups concerning early or late complications.