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Title

COMPARISON OF RESULTS AND COMPLICATIONS OF BASSINI, LIECHTENSTEIN AND BASSINI WITH MESH TECHNIQUES IN INGUINAL HERNIA REPAIR AT SHOHADAYE TAJRISH HOSPITAL, TEHRAN

Pages

  20-28

Abstract

 Introduction & Objective: INGUINAL HERNIA is a common disorder which many surgeons face during their practice. Several methods have been used for the repair of INGUINAL HERNIA; however, none of these methods has been introduced as the preferred method. In this study, we compared the RECURRENCE and COMPLICATIONS of BASSINI, LIECHTENSTEIN and BASSINI with MESH techniques in the repair of INGUINAL HERNIAs.Materials & Methods: 246 patients who referred to Shohada Hospital for INGUINAL HERNIA were included in this prospective analytical study, and were randomly divided into three groups. Bilateral or recurrent hernias were excluded.25 patients were also excluded due to the lack of follow up. Finally 78 patients were operated with BASSINI technique, 70 were operated with BASSINI with MESH and 73 were operated with LIECHTENSTEIN technique. The patients were followed for 12 months for COMPLICATIONS and the RECURRENCE of INGUINAL HERNIA after surgery. Frequency and percentage for qualitative variables and mean and standard deviation for quantitative variables were calculated. Chi square test, T test and one way Anova were used to analyse our hypotheses. In this study, P<0.05 was considered significant.Results: Postoperative pain in the first 24 hours after surgery did not differ significantly among the three groups; but after 1 month pain was significantly higher in BASSINI with MESH group and this difference persisted even 12 months after the surgery. Pain was less in BASSINI than LIECHTENSTEIN group in the first 3 months after the surgery. However, after 12 months pain became the same in the two groups. hematoma and seroma formation and ischemic orchitis were the same among the three groups. The RECURRENCE rate was similar in all three techniques.Conclusions: Both BASSINI and LIECHTENSTEIN techniques have similar COMPLICATIONS and RECURRENCE rates. However, given the low cost of BASSINI technique, this approach may be more appropriate for INGUINAL HERNIA repair in less developed countries. BASSINI with MESH method is not recommended, because this technique causes more chronic pain and is more expensive, while its RECURRENCE rate is similar to the other two techniques.

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    APA: Copy

    KHOSHNEVIS, J., ZIRAKZADEH, H., & FALAH, A.. (2013). COMPARISON OF RESULTS AND COMPLICATIONS OF BASSINI, LIECHTENSTEIN AND BASSINI WITH MESH TECHNIQUES IN INGUINAL HERNIA REPAIR AT SHOHADAYE TAJRISH HOSPITAL, TEHRAN. IRANIAN JOURNAL OF SURGERY, 21(2), 20-28. SID. https://sid.ir/paper/112999/en

    Vancouver: Copy

    KHOSHNEVIS J., ZIRAKZADEH H., FALAH A.. COMPARISON OF RESULTS AND COMPLICATIONS OF BASSINI, LIECHTENSTEIN AND BASSINI WITH MESH TECHNIQUES IN INGUINAL HERNIA REPAIR AT SHOHADAYE TAJRISH HOSPITAL, TEHRAN. IRANIAN JOURNAL OF SURGERY[Internet]. 2013;21(2):20-28. Available from: https://sid.ir/paper/112999/en

    IEEE: Copy

    J. KHOSHNEVIS, H. ZIRAKZADEH, and A. FALAH, “COMPARISON OF RESULTS AND COMPLICATIONS OF BASSINI, LIECHTENSTEIN AND BASSINI WITH MESH TECHNIQUES IN INGUINAL HERNIA REPAIR AT SHOHADAYE TAJRISH HOSPITAL, TEHRAN,” IRANIAN JOURNAL OF SURGERY, vol. 21, no. 2, pp. 20–28, 2013, [Online]. Available: https://sid.ir/paper/112999/en

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