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KMID : 0371320020630010057
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Journal of the Korean Surgical Society
2002 Volume.63 No. 1 p.57 ~ p.62
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A Comparing Study of Herniorrhaphies -Laparoscopy, Lichtenstein and Conventional Repairs-
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Kim Ji-Su
Jang Hyuk-Jai
Cho Yong-Pil
Kim Yong-Ho
Choi Youn-Baik
Han Myoung-Sik
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Abstract
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Purpose: The optimal surgical technique for inguinal hernia repair continues to be debated. This study was designed to investigate optimal surgical procedures in inguinal or femoral hernia.
Method: We analyzed 153 cases of herniorrhaphy on inguinal or femoral hernias between August 1996 and November 2000. We divided patient into four groups according to the methods of hernia repair, i.e., 1) 78 cases of laparoscopic
herniorrhaphy,
2) 42 cases of Lichtenstein herniorrhaphy, 3) 24 cases of Bassini herniorrhaphy and 4) 9 cases of McVay herniorrhaphy.
Results: The patient in the laparoscopic and Lichtenstein herniorrhaphy groups needed shorter hospital stays than those in the Bassini or McVay herniorrhaphy groups. The severity of pain was assessed by the total amount and duration of
nonsteroidal anti-inflammatory drug injections, which was minimal in the laparoscopic group. There were no differences in complications between the groups. One patient in the laparoscopy group had a hernia recurrence and was reoperated with
Lichtenstein
herniorrhaphy. We compared two tension-free herniorrhaphies with each other. The numbers of patients not needing analgesic injections were more in the laparoscopic than the Lichtenstein herniorrhaphy group, reflecting less pain in the former
group.
Hospital stays were also shorter in the laparoscopic than the Lichtenstein herniorrhaphy group.
Conclusion: We concluded that tension-free herniorrhaphy is superior to tension herniorrhaphy in terms of postoperative pain & recovery. Of the tension-free herniorrhaphies, laparoscopic herniorrhaphy is associated with less postoperative
pain
and shorter hospital stays than Lichtenstein herniorrhpahy.
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