Comparison of the one-year recurrence rate of direct inguinal hernia repaired with lichtenstein procedure under general versus spinal anesthesia

Mostafa Hoseini, Pooya Derakhshan, Hamzeh Mousavi, Behnood Farazmand

Abstract


Background and aims: Inguinal hernia are a condition that needs to be repaired through surgery in most of the cases. The recurrence of this condition is a problematic issue that highlights the importance of the identification of the factors preventing form the incidence of this condition. Regarding this, the present study was conducted to determine and compare the one-year recurrence rate of direct inguinal hernia operated with Lichtenstein method under general versus spinal anesthesia in Rasoul Akram Hospital, Tehran, Iran, during 2015-2016. Materials and Methods: This observational cohort study was conducted on 80 consecutive patients with direct inguinal hernia operated with Lichtenstein method in Rasoul Akram Hospital in 2015-2016. The patients undergoing inguinal hernia surgery under general and spinal anesthesia were compared in terms of the one-year recurrence rate of this medical condition.Results: According to the results, the recurrence rate of 5% was obtained for each of the two groups. There was no significant difference between the two groups regarding the recurrence rate (P>0.05). In addition, no related factor for inguinal hernia recurrence was observed in the study groups (P>0.05). Conclusion: Based on the findings, it can be concluded that the type of anesthesia (i.e., general versus spinal method) exerted no significant effect on the recurrence rate of direct inguinal hernia.


Keywords


Recurrence, Inguinal hernia, General anesthesia, Spinal anesthesia

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References


Condon RE. The anatomy of the inguinal region and its relation to the groin hernia, in Nyhus LM, Condon RE (eds): Hernia, 4th ed. Philadelphia: JP Lippincott, 2001.

Eubanks WS, Hern IU, Townsend CM, Beauchamp RD, Evers BM, Mattox KL. Sabiston Textbook of surgery the biological basis of modem surgical practice. 16th edition. Philadelphia: W.B. Saunders 2001, p.783-802.

Neuhauser D. Elective inguinal herniorrhaphy versus truss in the elderly. In Buker JP, Barnes BA, Mosteller F (eds). Costs, Risks and Benefits of Surgery. New York: Oxford University Press, 1977: 223 – 239.

Abramson JH, Gofin J, Hopp C, et al. The epidemiology of inguinal hernia. A survey in western Jerusalem. J Epidemiol Community Health 1978; March; 32(1): 59-67.

Rutkow IM. Surgical operation in the United States. Then (1983) and now (1994) Arch Surg. 1997;132:983–90.

Paajanen H. A single-surgeon randomized trial comparing three composite meshes on chronic pain after Lichtenstein hernia repair in local anesthesia. Hernia. 2007; 11:335–9.

Collaboration EH. Mesh compared with non-mesh methods of open groin hernia repair: systematic review of randomized controlled trials. Br J Surg. 2000; 87:854–9.

Bay-Nielsen M, Perkins FM, Kehlet H. Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg. 2001; 233:1–7.

Bittner R, Leibl BJ, Kraft B, Schwarz J. One-year results of a prospective, randomised clinical trial comparing four meshes in laparoscopic inguinal hernia repair (TAPP). Hernia. 2011 Oct;15(5):503-10.

Pierides G, Scheinin T, Remes V, Hermunen K, Vironen J. Randomized comparison of self-fixating and sutured mesh in open inguinal hernia repair. Br J Surg. 2012 May;99(5):630-6.

Sanjay P, Woodward A. Inguinal hernia repair: local or general anaesthesia? Ann R Coll Surg Engl. 2007 Jul;89(5):497-503.

Young DV. Comparison of local, spinal, and general anesthesia for inguinal herniorrhaphy. Am J Surg. 1987 Jun;153(6):560-3.

Ozgün H, Kurt MN, Kurt I, Cevikel MH. Comparison of local, spinal, and general anaesthesia for inguinal herniorrhaphy. Eur J Surg. 2002;168(8-9):455-9.

Shyam DC, Rapsan AG. Inguinal hernias in patients of 50 years and above. Pattern and outcome. Rev. Col. Bras. Cir. 2013; 40(5): 374-9.

Shrestha SK, Sharma VK. Outcome of Lichtenstein operation: A prospective evaluation of sixty-four patients. Available: http://www.nmcth.edu/images/gallery/Editorial/5wUroShyam_Kumar_Shrestha.pdf

Fernandez-ordonez Ml, Tenias JM. Spinal anesthesia versus general Anesthesia in the surgical treatment of inguinal hernia. cost effectiveness analysis. Rev Esp anestesiol reanim. 2014 May;61(5):254-261


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