[Lychtenstein's hernioplasty in inguinal hernmias]

Area of Science:

• General Surgery
• Minimally Invasive Surgery

Background:

• Inguinal hernia repair remains a challenge, with conventional hernioplasty showing an 8% relapse rate and risks of nerve and spermatic cord vessel injury.
• While "unstretched" surgery aims to reduce complications, endoscopic methods like transabdominal preperitoneal (TAPP) and intraperitoneal laparoscopic hernioplasty have variable relapse rates (0.8%–3.2%) and are technically complex and costly.

Purpose of the Study:

• To evaluate Lichtenstein hernioplasty as a simpler and effective alternative to laparoscopic inguinal hernia repair.
• To assess the feasibility and outcomes of Lichtenstein hernioplasty in a series of patients.

Main Methods:

• Lichtenstein hernioplasty, a non-laparoscopic technique, was performed in 76 patients.
• The surgical procedure was detailed, emphasizing its ease of execution compared to laparoscopic approaches.

Main Results:

• The Lichtenstein hernioplasty technique is significantly less complex than laparoscopic methods.
• Early postoperative outcomes following Lichtenstein hernioplasty were comparable to those observed after laparoscopic procedures.

Conclusions:

• Lichtenstein hernioplasty presents a viable and advantageous alternative to laparoscopic techniques for the majority of patients undergoing inguinal hernia repair.
• This method offers a potentially lower complication rate and is more accessible than complex laparoscopic surgeries.