Sikander H Gondal, Tanveer Anwer, Afsar A Bhatti.
A Comparative study between Lichenstein and Sutureless Inguinal Mesh Hernioplasty.
Pak J Med Health Sci Jan ;7(4):940-4.

Aim: To compare the outcome of Lichtenstein vs. suture less inguinal hernioplasty in patients with inguinal hernia Methods: This was a randomized controlled trial conducted in the Department of Surgery, Lahore General Hospital, Lahore. Total 300 patients were included in the study. Patients were randomly divided into 2 groups. Each group consists of 150 patients each. Those patients undergoing Lichtenstein repair was grouped as A and those undergoing suture less repair was grouped as B. Hernioplasty was done under general anesthesia. Patients were followed by researcher himself at 7th post-operative day for assessment of hematoma and pain. Results: Mean age in Group-A and Group-B was 45.46±7.62 and 43.81±7.78 years. In Group-A 25(16.7%) patients had direct and 125(83.3%) had indirect hernia. In Group-B 20(13.3%) patients had direct and 130(86.7%) had indirect hernia. At 7th day post operative in Group-A 12 patients had hematoma while in Group-B 3 patients had Hematoma. Hematoma formation in both treatment groups at 7th day was statistically different i.e., p-value (7th day)=0.017 In Group-B rate of hematoma formation was less as compared to Group-A.. Conclusion: Sutureless hernia repair is a promising and superior approach as compared to Lichtenstein technique for inguinal hernia surgery in terms of postop pain and hematoma formation.

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