Comparison between Desarda's Inguinal Hernia Repair and Lichtenstein Hernioplasty in terms of Complications, Operative time and Cost-effectiveness

Ali, Aamir; Bukhari, Syed Usman Shah; Awan, Saeed; Ahmed, Umair; Ahmed, Ali; Babar, Malik Waseem

doi:10.51253/pafmj.v72i4.8016

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Numerous modifications have been implemented in this approach, demonstrating varying levels of effectiveness 6-9, 11, 13 . Among these advancements, Lichtenstein introduced the tension-free inguinal hernioplasty, which has proven to be a highly effective and safe technique with a lower recurrence rate 9,14,15 . Initially, the mesh fixation on the posterior inguinal canal wall was performed using polypropylene 2/0 suture.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Skin Staples versus Skin Sutures After Inguinal Hernioplasty in Terms of Surgical Site Infection

2024

PJMD

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Background: Surgical site infection is a major concern following inguinal hernia repair, potentially leading to extended hospital stays, increased morbidity, patient discomfort, and higher healthcare costs. This study aimed to conduct a comparative analysis between skin staples and skin sutures in inguinal hernioplasty, explicitly focusing on their impact on surgical site infection rates. Methods: From September 2022 to June 2023, a randomized control trial study was carried out at the Surgery Department, Kulsoom Bai Valika Hospital Karachi. A total of 100 patients who underwent Lichtenstein tension-free mesh hernioplasty were allocated into two groups: the stapler group (n=50) and the polypropylene suture group (n=50). The patients were monitored for 3 to 6 hours post-surgery and safely discharged on the first postoperative day. Follow-up was scheduled 7 days after surgery to assess wound complications, specifically surgical site infections. Comparison between both groups was done using the Chi-square/Fisher exact test for surgical site infection and independent samples t-test for pain score. The level of significance was set at 5%. Results: The incidence of postoperative pain was slightly lower in the stapler group compared to the suture group (10% vs. 16%), this difference was not statistically significant (p=0.544). Moreover, the surgical site infection rate was significantly lower in the stapler group (3%) than in the suture group (12%) with p=0.012. Conclusion: When securing the mesh in inguinal hernia cases, the utilization of skin staples was considered a safe approach and was associated with lower surgical site infection as compared to skin sutures.

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Section: Discussionmentioning

confidence: 99%

Comparison of Skin Staples versus Skin Sutures After Inguinal Hernioplasty in Terms of Surgical Site Infection

2024

PJMD

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“…The pattern of mandibular fractures varies with geographic location, physical activity, social, cultural and environmental factors. 1 According to Molla et al 2 the incidence of mandible fracture in Bangladesh on the basis of anatomic distribution were symphysis-25.3%, body-30.2%, and angle-18.5%. In India the distribution was in parasymphysis-23.25%, body-12.74% and angle-17.44% 3 and in Pakistan it was parasymphysis-27.4%, body-22.2% and angle-23.3%.…”

Section: Abstract: Mandibular Fracture Surgical Management Nerve Inju...mentioning

confidence: 99%

Postoperative Complications after Surgical Management of Mandibular Angle Fracture

Akter

Ashrafi

Manira

et al. 2023

Update Dent. Coll. j

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Introductions: Mandibular angle fractures represent a high percentage and an important clinical challenge because of their treatment pattern and the highest postsurgical complication rate among all mandibular fractures. Materials and methods: The objectives of this cross-sectional observational study were to observe the postoperative complications after surgical management of a mandibular angle fracture and to facilitate early detection of complications and reduction of patients’ morbidity. This study was carried out among forty patients with mandibular angle fractures who were managed by open reduction and internal fixation by miniplate osteosynthesis. All the study patients were evaluated clinically pre- and postoperatively for various parameters at the 1st week, 2nd week, 1st month, and 4th month. Radiographs (OPG, PA skull, lateral skull, and CT scan of the oral and maxillofacial region) were taken pre- and postoperatively to assess complications. The infection was detected by culture and a sensitivity test. Nerve injury was evaluated by the “tactile test”, the brush directional stroke test by using a ’00’ camel hair brush, and the pinprick test performed by using a sterile 27-gauge syringe needle. Occlusion and chewing were evaluated postoperatively according to the Treatment Scoring System developed by V. Uglesic in 1993. The data was analyzed using the SPSS version 20 statistical software. Results: In this study, most of the patients (85%) were male and the mean age was 24.5 years. In the fracture line third molar was present in 55% cases. The most common complication of this study shows postoperative nerve injury 30% cases. Infection in 10% cases, malocclusion in 7.5% cases. Slight restricted mouth opening in 5% cases. Other complications such as malunion,, delayed union, and non-union were absent. Conclusion: The most common complication after surgery is nerve injury along with infection and malocclusion. A careful preoperative assessment, early surgical intervention, meticulous surgical technique, postoperative care and appropriate rehabilitation are the main concern to prevent neurological and other complications. Update Dent. Coll. j: 2023; 13(1): 9-13

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Comparison between Desarda's Inguinal Hernia Repair and Lichtenstein Hernioplasty in terms of Complications, Operative time and Cost-effectiveness

Cited by 2 publications

References 11 publications

Comparison of Skin Staples versus Skin Sutures After Inguinal Hernioplasty in Terms of Surgical Site Infection

Comparison of Skin Staples versus Skin Sutures After Inguinal Hernioplasty in Terms of Surgical Site Infection

Postoperative Complications after Surgical Management of Mandibular Angle Fracture

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