Postoperative Outcomes after Inguinal Hernia Repair Performing Modified Lichtenstein Procedure

Ramin  Ebrahimian Jektaji; Amir  Pirouz; Mohammad  Ramezani; Seyedeh Mohadese  Mosavi Mirkalaie; Mohammad  Amouzadeh Lichahi; Moein Moghaddam  Ahmadi

doi:10.18502/jimc.v8i3.18804

Ramin Ebrahimian Jektaji Department of Surgery, School of Medicine, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Amir Pirouz Clinical Research Development Unit, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Mohammad Ramezani Clinical Research Development Unit, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
Seyedeh Mohadese Mosavi Mirkalaie Student Research Committee, School of Medicine, Anzali International Campus, Guilan University of Medical Sciences, Rasht, Iran
Mohammad Amouzadeh Lichahi Student Research Committee, School of Medicine, Anzali International Campus, Guilan University of Medical Sciences, Rasht, Iran
Moein Moghaddam Ahmadi Department of Surgery, School of Medicine, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran

DOI: https://doi.org/10.18502/jimc.v8i3.18804

Keywords: Cross-Sectional Studies, Herniorrhaphy, Inguinal hernia, Return to Work, Surgical Mesh

Abstract

Background: Repairing the inguinal hernia with mesh using the Lichtenstein method is safe, with a high success rate and low recurrence. Still, there is a potential risk of damage and entrapment of the ilioinguinal and iliohypogastric sensory nerves. This study aimed to investigate the outcomes of the patients after modified Lichtenstein hernia repair surgery.

Methods: This cross-sectional study was conducted on 35 male patients referred to Poursina Hospital with complaints of inguinal hernia who underwent a modified Lichtenstein hernia repair procedure. The demographical data, clinical characteristics, and the outcomes of the patients were recorded. A visual Analog Scale (VAS) evaluated pain scores after surgery, and the data was analyzed using SPSS version 24.

Results: The mean age of the patients was 50.65±14.44 years. Surgery duration averaged 41.17±14.97 minutes, and most patients had indirect hernias (71.4%), with a 57.2% occurrence on the right side. No intraoperative complications occurred, and only one patient experienced postoperative complications. No hernia relapses were reported, and the mean pain score was 0.38±0.07, according to the VAS. Patients returned to work in an average of 2.90±0.98 days, with 45.7% returning after three days.

Conclusion: Findings illustrated that the modified Lichtenstein surgery procedure can treat inguinal hernia due to its fewer postoperative complications.