Application of Lichtenstein Method in Primary Inguinal Hernia by Under Experienced Surgeons
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Aim: Lichtenstein technique is a mostly used inguinal hernia repair that provides important advantages to patient Complication and recurrence rates are low for surgeons and it is an easy way to learn and apply. We have explained our results of Lichtenstein method which was applied by our assistant surgeons in order to emphasize that it can be used as a start method in repair of primer inguinal hernia. Material and Method: 154 patients that were operated with Lichtenstein method by our assistant surgeons after being diagnosed with primer inguinal hernia in Izmir Training Research Hospital between February 2008 and February 2011 were included in the study. For all patients, spinal anaesthesia was used as anaesthesia technic. Preoperatif sefazolin Na I gr. iv. was injected. The patients were followed 21 months (843 months) in average. Patients started oral feeding in the operation evening and were allowed mobilisation. Results: 149 of the patients were male and 5 were female and age average was 53,5 (18-83). In 85 patients right inguinal hernia, in 65 patients left inguinal hernia and in 4 patients bilateral inguinal hernia were diagnosed. In exploration, it was detected that there were direct hernia in 62 patients, indirect hernia in 85 patients, pantaloon hernia in 3 patients, bilateral direct hernia in 4 patients. Average stay in hospital was 1,8 days postoperative. Early complications were seen 4,5 % as infection (n=4). sero ma (n=1) urinary retention (n=1) and scrotal edema (n=1). Late term complications were seen 6,4 U's as neuralgia (n=10). Mesh reaction and recurrence weren't detected in any of the patients. Discussion: In our study. Lichtenstein method were applied especially by our underexperienced surgeons. The fact that complication rate was low and no recurrence occured support its easy learning and application. We suggest its usage as a starting method in surgery education and primary inguinal hernia repair.