OP 149. Comprasion of Method in Inguinal Hernia:Lichtenstein and Plug Mesh


V. Onur Gul, M. Ince, S. Ozer

Chair(s): György Wéber, Nikolay Lvovich Matveev & Péter Ónody

8:50 - 9:00h at Erszebet Room (A)

Categories: Abdominal Wall and Hernia, Oral Session

Session: Oral Session XVII - Abdominal Wall and Hernia


Backhround
Purpose of this study is to determine the advantageous one in the inguinal hernia surgery, by comparing Lichtenstein and Plug Mesh repair methods in terms of criteria such as; postoperative patient comfort,complicationsand recurrence.

Material and Methods
In this study,Plug Mesh was performed for104 of them, Lichtenstein was performed for 98 of them.The two groups were compared in terms of, type of hernia, operative time,hospitalization period, early and late postoperative pain periods, hematoma seroma, paresthesia, urinary retention, testicular problems,wound complications,period to return to daily activities and recurrence.

Results
Complications were observed in 17 (8.3%) cases,and these often were seroma, scrotal edema, and wound infection. Hernia recurrence were seen in 2(1.9%) cases with Plug Mesh and in 3(3%) cases with Lichtenstein. There were no statistically significant differences between the statistical groups and recurrence. When surgery period, postoperative pain values were analyzed, average surgery period in Lichtenstein group was significantly higher than mesh plug group’s average surgery periods,and postoperative early and late period average pain levels were significantly higher than mesh plug group’s average pain levels. When compared in terms of complications statistically significant differences were not observed.

Conclusion
This study with its low recurrence Plug Mesh method, compared with Lichtenstein,despite being similar in terms of complications, considering postoperative pain levels and shorter surgery period, it has been evaluated to be more superior. In the direction of longer term studies and increasing the number of cases it was concluded that the Plug Mesh can be used confidently.