Nyhus And Condon's Hernia Pdf 15

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BACKGROUND:  There are various methods of laparoscopic hernia repair including suturing of the mesh to the posterior and anterior abdominal wall, stapling of the mesh to the posterior and anterior abdominal wall, suturing the mesh to the posterior and anterior abdominal wall with or without transabdominal preperitoneal (TAPP) patch.

Conclusions: The present study supports the use of fibrin glue for fixation of mesh in Lichtenstein hernia repair. The study also shows that the pain on the third postoperative day was more in the Lap-Mesh group. The laparoscopic Lichtenstein repair is a good alternative to the open approach. Chronic pain is one of the major factors for preferring the open tension free repair over the laparoscopic mesh repair.

In our study, patients diagnosed with inguinal hernia were analysed. We obtained a total of 115 patients in three groups of Lichtenstein (n=42), laparoscopic mesh repair (Lap- Mesh) (n=43) and laparoscopic mesh repair with fibrin glue fixation (Fib-Mesh) (n=30) and evaluated for the pain on the third postoperative day, 15th and 30th day. The data were compared with the pre operative and post operative assessment of pain on the day of operation, 15th and 30th day using analysis of variance. There was no significant difference in pain among three groups as the pain was less in the postoperative period on 15th and 30th day for all three groups. However, there was a significant difference in the pain on the 3rd day (p 827ec27edc