PROLENE HERNIA SYSTEM (PHS) VERSUS LINCHENSTEIN REPAIR IN INGUINAL HERNIOPLASTY: A COMPARATIVE STUDY

Abstract

Background: Surgeons are more interested in the techniques available, in recurrence rates, and in short term complications of hernia surgery. The present study was conducted with an objective to compare inguinal hernioplasty with the prolene hernia system verses Linchenstein repair.

Methodology: The present comparative study was conducted on the patient admitted with the diagnosis of primary unilateral inguinal hernia. These patients were randomly placed in two groups, one group was subjected to open tension free Prolene hernia system mesh hernioplasty & other group Linchenstein repair. The patients were assessed for the severity of post operative pain using visual analogue scale, duration of surgery, technical difficulty and post-operative complications like wound infection, wound seroma.

Results: Duration of surgery in case of Linchenstein mesh repair ranged from 40 -50 minutes and in PHS ranged from 60 - 80 minutes with mean of 70.4 minutes. For Linchenstein repair at the end of 7th day 24% cases have no pain, 60% cases have minimal pain, while 16% cases have moderate pain. For PHS at the end of 7^th day 44% cases have no pain, 48% cases have minimal pain, while 8% cases have moderate pain. No patient has severe pain at the end of 7^th and 15^th day.

Conclusion: There is no significant difference found in hospital stay, Complications, chronic pain and recurrence rate in either group. PHS is bit difficult for new surgeon, it requires expertise.