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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2012, Number 3

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Rev Esp Med Quir 2012; 17 (3)

Safety and effectiveness of inguinal repair with Lichtenstein and Gilbert techniques. A casecontrol study

Botello HZ, Corona BA, Albarrán CR, Catalán del RAL, López MMC

Language: Spanish
References: 14
Page: 170-174
PDF size: 175.70 Kb.


ABSTRACT

Background: Lichtenstein inguinal hernia repair is safe and effective, with low rates of complications and recurrences.
Objective: To demonstrate that the inguinal hernia repair with Lichtenstein technique is more effective and less morbid than Gilbert plasty technique.
Patients and methods: We performed an observational, longitudinal and retrospective analysis to determine the effectiveness and safety of Gilbert and Lichtenstein inguinal hernia repair techniques. Statistical analysis was performed using the χ2 and Student t tests.
Results: We studied 52 patients, 22 were operated with Lichtenstein technique, 19 (86.4%) were male, 4 (18.%) had type 2 diabetes and 8 (36.4%) hypertension. The hernia was right sided in 9 (40.9%) and left sided in 13 (59.1%). Surgery time was 56.09 ± 18.33 minutes (p ‹ 0.05). Thirty patients were operated with Gilbert technique, 26 (86.7%) were male, 4 patients (13.3%) had type 2 diabetes, 9 (30%) had hypertension and 2 (6.7%) had chronic obstructive pulmonary disease. In 13 (43.3%) patients hernia was right sided, in 15 (50%) was left sided and in 2 (6.7%) was bilateral; surgery time was 75 ± 21 minutes (p ≤ 0.05). Forty-four patients (84.6%) had no complications, 4 (7.7%) developed seroma, 2 (3.8%) had hematoma and 2 (3.8%) had surgical wound infection with both techniques. There were no recurrences, rejection of the mesh, nor wound dehiscence.
Conclusion: Both techniques are safe and effective; there was no statistically significant difference in recurrence or complications, but inguinal hernia repair with Lichtenstein technique takes less time.


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