Mohammad Mostafizur Rahman, Motior Rahman.
An early experience with Lichtenstein Hernioplasty.
Professional Med J Jan ;11(1):83-6.

All standard methods of hernia repairs arc associated with a good number of recurrences. Recently prosthetic materials have been increasingly used in hernia repair to prevent recurrence but specially Lichtenstein has dramatically changed the outcome. The aim of this study is to evaluate personal experience with this new technique. Methods: In this prospective study 65 tension free inguinal hernia repair using Liechtenstein technique were performed single handedly between June 1999 and May 2002. Intention behind this study was to observe the early and late complication specially recurrence. Result: In my study Group, indirect inguinal hernia 39 patients (60.00%), direct inguinal hernia 21 patients (32.3%) and bilateral 5 patients (7.7%). Mean patient age was 55 years (range 20-82), follow up was completed in 57 patients (90%) by clinically examination. The median follow up period was 2.1 years (range 1-4 years). Apart from temporary urinary retention, mild seroma and hematoma formation I have not observed any acute infection or abscess formation or any recurrence or rejection of synthetic mash. Conclusion: Lichtenstein tension free hernia repair is a wonderful breakthrough in the management of inguinal hernia, which is very simple, safe and has remarkably low recurrence rate and it is my preferred choice since 1996.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com