01Jul 2019


  • General Surgery department, Faculty of Medicine, Zagazig University.
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Background/purpose: Lichtenstein mesh repair is the most common procedure used by surgeons for management of inguinal hernia due to its low recurrence rate and complications. However, post-operative complications like chronic groin pain, foreign body sensation, loss of sensation obtained a great attention. Successful inguinal hernia repair measured by minimizing the post-operative complication and maximizing the patient satisfaction.Guttadauro et al. described a new open repair procedure called All In One technique for management of primary inguinal hernia in adult to decrease the incidence of chronic post-operative pain and foreign body sensation, leading to improving patient?s comfort [1].The objectives of this study To conduct a comparative study between the All In One technique and the Lichtenstein technique in order to evaluate the advantages and complications of each for treatment of inguinal hernia. Methods: This study was carried on 60 patients with primary inguinal hernia in the department of General Surgery, Zagazig University Hospitals during the period from August 2017 to January 2019.The patients divided into two groups : Group (A): was treated with All In One technique. Group (B): was treated with Lichtenstein technique. Results: the age of the studied patients in group (A) ranging from 22-70 years old with mean 46.26?13.22 and in group (B) ranging from 31-70 years old with mean 48.9?11.95 and most of the studied patients are in the 4th & 5th decade. All In One technique has significantly less loss of sensation over the groin, groin pain at 1,3,6 monthes and foreign body sensation over the groin . there is no significant difference in both groups as regard types of hernia ,operative time,Post-operative complications, Return to normal activity and Recurrence rate. Conclusions: the All In One technique procedure is considered as a good approach for the surgical treatment of primary inguinal hernia with less post-operative complications and less postoperative neuralgia, chronic groin pain, sensation of foreign body and loss of sensation with better patient compliance and satisfaction. It helps the less experienced surgeon to avoid pitfalls in dealing with nerves.

  1. Guttadauro A, Maternini Matteo, Frassani Silvia, et al. (2017) ??All-in-one mesh? hernioplasty: A new procedure for primary inguinal hernia open repair?, Asian Journal of Surgery. Elsevier Taiwan LLC, 41(5), pp. 473?479. doi: 10.1016/j.asjsur.2017.07.003.
  2. Fitzgibbons RJ and Forse RA (2015) ?Groin Hernias in Adults?, New England Journal of Medicine, 372(8), pp. 756?763. doi: 10.1056/NEJMcp1404068.
  3. Simons MP, Aufenacker T, Bay-Nielsen M, et al. (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients, Hernia. doi: 10.1007/s10029-009-0529-7.
  4. Leandro MP, Renato M DM , DA-SILVA.J, et al.? (2017) ?comparative study of postoperative pain between the lichtenstein and laparoscopy surgical techniques for the treatment of unilateral primary inguinal hernia?, 30(3), pp. 173?174. doi: 10.1590/0102-6720201700030003.
  5. Singh RR, Kumar GA, Singh Shah Avreen, et al. (2016) ?A study about inguinal hernia mesh repairs: plug and patch versus lichtenstein mesh repair technique?, International Surgery Journal Singh RR et al. Int Surg J, 3(4), pp. 1967?1974. doi: 10.18203/2349-2902.isj20163562.
  6. Neogi, P., Gupta, V. and Tripathi, N. (2017) ?A comparative study of outcomes of Lichtenstein repair and Desarda tissue repair in patients of inguinal hernia?, International Surgery Journal, 4(8), p. 2693. doi: 10.18203/2349-2902.isj20173407.
  7. KW M, Cummings B and Doolas A (2003) ?The millikan modified mesh-plug hernioplasty?, Archives of Surgery, 138(5), pp. 525?530. Available at: http://dx.doi.org/10.1001/archsurg.138.5.525.
  8. Di Marzo F (2017) ?Inguinal Hernia and Other Types of Hernia: Diagnostic and Therapeutic Approach?, in Zini, R., Volpi, P., and Bisciotti, G. N. (eds) Groin Pain Syndrome: A Multidisciplinary Guide to Diagnosis and Treatment. Cham: Springer International Publishing, pp. 89?93. doi: 10.1007/978-3-319-41624-3_10.
  9. Nienhuijs, S. W, Van Oort I, Keemers-Gels ME, et al. (2005) ?Randomized clinical trial comparing the Prolene?? Hernia System, mesh plug repair and Lichtenstein method for open inguinal hernia repair?, British Journal of Surgery, 92(1), pp. 33?38. doi: 10.1002/bjs.4702.
  10. Moore J. B. and Hasenboehler E. A. (2007) ?Orchiectomy as a result of ischemic orchitis after laparoscopic inguinal hernia repair: case report of a rare complication?, Patient Safety in Surgery, 1(1), p. 3. doi: 10.1186/1754-9493-1-3.
  11. Lipskar A. M. and Reiner M. A. (2013) ?The SAGES Manual of Hernia Repair?. doi: 10.1007/978-1-4614-4824-2.
  12. Klinge, U., Fiebeler, A. and Tur, M. K. (2010) ?Postoperative CRPS in inguinal hernia patients?, Hernia Repair Sequelae, pp. 213?219. doi: 10.1007/978-3-642-11541-7_28.
  13. Alfieri S, Amid P K, Campanelli G, et al. (2011) ?International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery?, Hernia, 15(3), pp. 239?249. doi: 10.1007/s10029-011-0798-9.

[Waleed A. Abd-Elhady, Bassem Sieda, Ahmed M. Sallam and Wael M. Abdallah. (2019); ALL IN ONE TECHNIQUE VERSUS LICHTENSTEIN TECHNIQUE FOR TREATMENT OF INGUINAL HERNIA IN ZAGAZIG UNIVERSITY HOSPITALS. Int. J. of Adv. Res. 7 (7). 76-83] (ISSN 2320-5407). www.journalijar.com

Waleed A. Abd-Elhady
General Surgery department, Faculty of Medicine, Zagazig University


Article DOI: 10.21474/IJAR01/9327       DOI URL: http://dx.doi.org/10.21474/IJAR01/9327

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