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[Mesh-plug operation for treating inguinal hernia. Randomized studies]

M I Pirski1, W Gacyk, P Witkowski

  • 1I Katedry i Kliniki Chirurgii Akademii Medycznej w Gdańsku.

Wiadomosci Lekarskie (Warsaw, Poland : 1960)
|January 1, 1997
PubMed
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The Bassini procedure for inguinal hernia repair took longer and required more pain medication than the tension-free mesh-plug repair. Both methods showed similar complication rates, but mesh repair led to shorter hospital stays and faster recovery.

Area of Science:

  • General Surgery
  • Surgical Innovation
  • Hernia Repair Techniques

Background:

  • Inguinal hernias are a common surgical condition.
  • Traditional surgical repair methods like the Bassini procedure have been widely used.
  • Minimally invasive and tension-free techniques are increasingly explored for improved patient outcomes.

Purpose of the Study:

  • To compare the efficacy and outcomes of the Bassini procedure versus tension-free mesh-plug repair for inguinal hernias.
  • To evaluate operative time, postoperative pain, complication rates, hospital stay, and recurrence rates between the two surgical methods.

Main Methods:

  • A prospective randomized study involving 100 patients with inguinal hernias.
  • Patients were divided into two groups: Group I (Bassini procedure) and Group II (tension-free mesh-plug repair - Lichtenstein modification).

Related Experiment Videos

  • Hernia types were classified using Gilbert's classification (Rutkow's modification); statistical analysis used t-Student and Mann-Whitney tests.

    • Main Results:

    • Operative time was significantly shorter for mesh-plug repair (51.8 min) compared to Bassini (63 min).
    • Postoperative narcotic analgesic requirements were substantially lower in the mesh-plug group (22%) versus the Bassini group (64%).
    • Hospital stay was significantly shorter with mesh-plug repair (4 days) versus Bassini (6 days); recurrence rates were zero for both groups during 1-17 months follow-up.

    Conclusions:

    • Tension-free mesh-plug repair (Lichtenstein modification) offers significant advantages over the Bassini procedure in terms of operative time and postoperative pain management.
    • Both surgical techniques demonstrated comparable complication rates and excellent long-term recurrence-free outcomes.
    • Mesh-plug repair facilitates a quicker return to normal activities and work, suggesting it as a potentially superior option for inguinal hernia treatment.