Management of indirect hernial sac in inguinal hernia repairs has long been a subject of debate among general surgeons. Although hernial sac high ligation (HL) is a time-honored concept in groin hernia surgery, non-ligation/invagination is gaining more popularity. The aim of this study is to compare the effects of hernia sac ligation and invagination in patients with Lichtenstein mesh hernioplasty (LMH). Also, investigators aimed to investigate the possible association between the hernial defect size and postoperative early pain in both groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
108
The inguinal canal was opened and the hernia sac was dissected from the spermatic cord The deep inguinal ring was tightened with one or two polypropylene 2/0 sutures. The posterior wall of the inguinal canal was supported using the standard polypropylene mesh and fixed with 2/0 polyproline. The ilioinguinal nerve, iliohypogastric nerve, and genital branch of the genitofemoral nerve were preserved and care was taken to prevent entrapment.
Samsun Eğitim ve Araştırma Hastanesi
Samsun, Turkey (Türkiye)
postoperative pain levels
10-point Visual Analogue Scale (VAS)
Time frame: postoperative period before discharge-1 year after discharge
postoperative complications
hematoma, seroma, wound infection, urinary retention
Time frame: postoperative period before discharge (mainly the first 24 hours)
perioperative outcomes
operative time (minutes), hospital stay (days)
Time frame: postoperative period before discharge (mainly the first 24 hours)
recurrence
Number of patients with hernia recurrence
Time frame: postoperative 1 year
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