Comparative Study between Lichtenstein versus Lichtenstein Combined with Mesh Plug in Management of Inguinal Hernia

Document Type : Original Article

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Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Damietta, Egypt

Abstract

Background and Objective: Inguinal hernioplasty is an ordinary operation all over the world. Many types of repair are present. Aim of the surgeon is to improve the outcome and decrease the recurrence. We evaluated the addition of a mesh plug with the usual repair as a synergistic way to reduce the recurrence.
Patients and Methods: A clinical trial involved 200 inguinal hernia patients and was conducted in the General Surgery Department of the Faculty of medicine, Al-Azhar University, New Damietta. Patients were randomly divided into two equal groups; Group A: patients performed Onlay mesh hernioplasty surgery, whereas Group B patients performed combined Onlay-Plug mesh hernioplasty surgery. For six months, post-operative results in both groups were evaluated.
Results: Group [B] patients who had undergone combination Onlay-Plug mesh hernioplasty surgery have increased incidences of after-surgery pain, scrotal swelling, cord sensitivity, and infected wounds, revealing a significant difference in the two groups.
Conclusion: Adding mesh plug has no value. Onlay mesh is sufficient for the repair of inguinal hernioplasty.

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