Critical scrutiny of the open “tension-free” hernioplasty

Amid, Parviz K.; Shulman, Alex G.; Lichtenstein, Irving L.

doi:10.1016/s0002-9610(05)80847-5

Cited by 213 publications

(120 citation statements)

References 3 publications

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“…A single intravenous dose of 2 gm of cephalosporine was administered to all the patients for infection prophylaxis preoperatively. Lichtenstein open hernia repair was performed using a technique that has been described in detail by Lichtenstein and Amid [13][14][15] . Indirect hernia sacs were either dissected, ligated, cut at the neck, and then inverted or dissected and inverted with respect to the condition of the sac and the hernia orifice.…”

Section: Methodsmentioning

confidence: 99%

Open Tension Free Mesh Repair of Inguinal Hernias: The Lichtenstein Technique- 26 Our Experience for Last Ten Years

et al. 2013

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Section: Methodsmentioning

confidence: 99%

Open Tension Free Mesh Repair of Inguinal Hernias: The Lichtenstein Technique- 26 Our Experience for Last Ten Years

et al. 2013

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“…2 A 7×11cm polypropylene mesh (that was trimmed to match the size of the inguinal floor if necessary) was used. After closure of the external oblique and Scarpa's fascia, the skin was closed with an interrupted 2-0 polyamide (Figure 1).…”

Section: Surgical Techniquementioning

confidence: 99%

An institutional comparative study of self-gripping progrip mesh with prolene mesh in repair of inguinal hernia: a single center study

2018

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Background: The type of inguinal hernia repair used depends on many factors predominantly surgeon's training, interpretation of the literature and personal preference. This prospective cohort study describes a consecutive series of open mesh inguinal hernia repairs (modified Lichtenstein technique) performed in this hospital with two different mesh types. Methods: Analysis was undertaken on 60 consecutive patients who underwent inguinal hernia repair during last one year. Short-term outcomes were compared between those repaired with conventional polypropylene mesh and those with Covidien Progrip mesh. Results: All patients were male, and the mean age was 60 years. The median operative time was 60 minutes for unilateral hernias and 90 minutes for bilateral hernias. The use of Covidien Progrip mesh reduced the operative time to 40 minutes for unilateral hernias and 60 minutes for bilateral hernias. After unilateral hernia repair, 10% of the patients repaired with Progrip mesh were discharged home within 1 day of operation. Almost 99% of Progrip repair cases were discharged within 48 hrs. Twenty-four hours postoperatively, 74% of the patients were either totally pain free or had minimal discomfort. At 4weeks, 99%of the patients were either pain free or had minimal discomfort. Patients who underwent unilateral inguinal hernia repair with progrip mesh had the most rapid return to normal activities. All these parameters are slight longer in polypropylene mesh repair cases. Conclusions: Open anterior mesh repair is safe and results in minimal postoperative pain and early return to normal activities. Progrip mesh resulted in a shorter operative time and more rapid return to normal activities and decrease in long term postoperative pain compared with polypropylene mesh.

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“…1,2 The standard way of securing the mesh in position on the posterior wall of inguinal canal is with polypropylene sutures. This trial was conducted to assess the efficacy of anchoring the mesh in position with skin staples which was quicker when used and should reduce the operating time and deal with problem of infection by minimizing the risk of wound colonization.…”

Section: Introductionmentioning

confidence: 99%

Comparative Study of Skin Staples and Polypropylene Sutures for Securing the Mesh in Lichtenstein’s Inguinal Hernia Repair: A Prospective Randomized Controlled Clinical Trial

Gupta¹

2017

JMSCR

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Critical scrutiny of the open “tension-free” hernioplasty

Cited by 213 publications

References 3 publications

Open Tension Free Mesh Repair of Inguinal Hernias: The Lichtenstein Technique- 26 Our Experience for Last Ten Years

Open Tension Free Mesh Repair of Inguinal Hernias: The Lichtenstein Technique- 26 Our Experience for Last Ten Years

An institutional comparative study of self-gripping progrip mesh with prolene mesh in repair of inguinal hernia: a single center study

Comparative Study of Skin Staples and Polypropylene Sutures for Securing the Mesh in Lichtenstein’s Inguinal Hernia Repair: A Prospective Randomized Controlled Clinical Trial

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