Post-operative follow-up and quality of life after prosthetic repair of bilateral inguinal hernia in a single step by the Lichtenstein technique

  • S KADEM Service de chirurgie générale, chu Benimessous
  • R BELOUZ Service de chirurgie générale, chu Benimessous
  • M SAIDANI Service de chirurgie générale, chu Benimessous
DOI: https://doi.org/10.34118/amr.v1i4.2803
Keywords: Bilateral inguinal hernia, Bilateral Lichtenstein, post-operative follow-up, quality of life.

Abstract

Introduction: Bilateral ingual hernia (HIB) is a public health problem, for which there is currently no preventive treatment, the only alternative is surgical treatment. The spread and generalization of the use of prostheses to treat adult groin hernias has led to a drop in post-operative complications and, in particular, recurrences (˂1%) and offers a better quality of life. The objective of our study is to evalue the post-operative outcomes and quality of life of patients after prosthetic HIB repair in a single step. Patients and Method: Our study involves a series of 84 patients with HIB in a descriptive study with prospective follow-up. Patients were recruited in the surgery department of CHU BENI MESSOUS, ALGIERS. The study was conducted over a five-year period. The main criterion for judgment was the following two-year operating positions and the secondary criteria, quality of life, duration of the intervention, length of stay. Rating scales: EVAD and DN4 and CCS. Results: No loss of sight or death was reported. The average age of the patients was 61.5±12 years, exclusively male. Eighty-one (96.43%) patients had primary HIB and three (3.57%) had recurrence. Surgery was performed under rachianesthesia in 74% of cases and 26% of cases under general anesthesia. The average duration of the procedure was 2.5 H ± 25 min. The average length of hospital stay was 1.4±1 days. Immediate post-operative follow-up was marked by two cases of parietal hematoma (2%). One case (2.4%) of bilateral fistula was noted at 6 months and 12 months post-operative. There were no cases of recurrence, discomfort or chronic pain at the end of the 24-month assessment. Conclusion: In the light of our work, it emerges that the prosthetic repair of an HIB in a single step had a low rate of recurrence, very low mortality, patient comfort and low economic cost.

References

[1] Mitura K, Dąbrowiecki S, Śmietański M, Matyja A . Do we need changes in the organization of training in the hernia treatment in Poland? A survey on the acknowledgment of the recommendations of international hernia societies by surgeons. Pol Przegl Chir, 2017; 89(5):1218. [2] Amid .K.P, Lichtenstein .I. L. Long term results and current status of the Lichtenstein open tension free hernioplasty. Hernia 1998; 2:89-94. [3] Choua. O et al. Plasties herniaires selon la technique ‘’tension frée’’ de Lichtenstein. Notre expérience à N’djaméra (Tchad). Afr-J-of integ Health, 2014; vol 3 : N°1. [4] Burgmans J P J, Voorbrood C E H, Simmermacher R K J, Schouten N, Smakman N, et al. Long-term Results of a Randomized Double-blinded Prospective Trial of a Lightweight (Ultrapro) Versus a Heavyweight Mesh (Prolene) in Laparoscopic Total Extraperitoneal Inguinal Hernia Repair (TULP-trial). Annals of Surgery 2016 ; 263 (5) : 862-66. [5] Dhankhar. D S. Totally extraperitoneal repair under general anesthesia versus Lichtenstein repair under local anesthesia for unilateral inguinal hernia: a prospective randomized controlled trial. Surg Endosc (2014) 28:996–1002. [6] Mc Carthy M, Chang C-H, Pickard AS, et al. visual Analog Scales for Assessing Surgical Pain. Journal of the American College of Surgeons 2005; 201: 245 – 52. [7] Bouhassira D, Attal N, Alchaar H, et al. comparaison of pain syndromes associated with nervous or somatic lesions and development of a new neuropathic pain diagnostic questionnaire (DN4): Pain 2005; 114: 29 – 36. [8] Henifort BT, Lincourt AE, Walters AL, ET AL. CAROLINAS Confort Scale as a Measure of hernia repair quality of life: A reappraisal Utilizing 3788 International Patients. Ann Sug 2018; 267: 171 – 6 [9] Hussein Y, Nour H, Morcy M, Farouk Amin M. Simultaneous repair of bilateral inguinal hernia by Lichtenstein repair.Int. J. Adv. Res. 2018: 6(2), 1584-1588. [10] Varun Gautam P, Litake Manjusha M. A comparative study between Stoppa repair and Lichtenstein MESH repair in the treatment of bilateral inguinal hernia. Indian Journal of Basic and Applied Medical Research, March 2017; Vol.-6, Issue-2, P. 569-574. [11] Simons MP, Aufenacker T, Baynielsen M, et al. European Hernia Society guidelines on the treatment of inguinal
hernia in adult patients. Hernia, 2009; 13 (4):343–403. [12] Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J et al. Update with level I studies of the European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2014;18 (2):151-63. [13] Pélissier E, Ngo P. anatomie chirurgicale de l’aine. Encycl Med Chir. Techniques chirurgicales-appareil digestif, 2007 ; 40-105. [14] Talha A, Shaaban A, Ramada R. peritoneal versus Lichtenstein tension-free hernioplastie for the treatment of bilateral inguinal henie.the EgyptianJournal of Surgery, 2015; 34:79-84. [15] Nordin P, Ahlberg J, Johansson H, Holmberg H, Hafström L. Risk factors for injuries associated with damage claims following groin hernia repair Hernia, 2017; 21:215–221. [16] Elion Ossibi P1, Note Madzele Mej1, Motoula Latou Nh et al. Prise en charge des hernies inguinales par prothèse selon le procédé de Lichtenstein. Health Sci. Dis: Vol 22 (12) December 2021 pp 35-39 [17] Amid PK, Shulman AG, Lichtenstein IL. Simultaneous repair of bilateral inguinal hernias under local anesthesia. Ann Surg, 1996; 223:249-252. [18] Elion Ossibi P1, Note Madzele Mej1, Motoula Latou Nh et al. Prise en charge des hernies inguinales par prothèse selon le procédé de Lichtenstein. Health Sci. Dis: Vol 22 (12) December 2021 pp 35-39 [19] Argo M, Favela J, Phung T, Huerta S (2019) Local vs other forms of anesthesia for open inguinal hernia repair: a metaanalysis of randomized controlled trials. Am J Surg 218:1008–1015. [20] Balentine CJ, Meier J, Berger M et al (2021) Using local anesthesia for inguinal hernia repair reduces complications in older patients. J Surg Res 258:64–72. [21] Brattwall M, Warren Stomberg M, Rawal N, et al. Patients’ assessment of 4week recovery after ambulatory surgery. Acta Anaesthesiol Scand, 2011; 55:92–98. [22] Marciel Gustavo S, Simões RL, do Carmo FP, Garcia JW, Paulo DN. Results of the simultaneous bilateral inguinal hernia repair by the Lichtenstein technique. Rev Col Bras Cir, 2013; SepOct. 40 (5):370-3. [23] Diop. B, Sall I, Sow O, Ba P A, Konate I, Dieng M, Wilson E, Wane Y, Sarré SM. Prise en Charge des Hernies Inguinales par Prothèse selon la Procédure De Lichtenstein : Une Étude de 267 Cas. Health Sci. Dis. 2018; 19 (1) : 69- 73
[24] Chen Jian-Han and al. bilateral primary inguinal hernia repair in Taiwanese adults: A nationwide database analysis. Formosan Journal of Surgery, Jan 2017; Volume 50, Issue 3: 89-96. [25] Varun Gautam P, Litake Manjusha M. A comparative study between Stoppa repair and Lichtenstein MESH repair in the treatment of bilateral inguinal hernia. Indian Journal of Basic and Applied Medical Research, March 2017; Vol.-6, Issue-2, P. 569-574. [26] Pélissier E, P.N., Chronic Pain after Groin Hernia Repair: a Margin of Progress? e-mémoires de l'Académie Nationale de Chirurgie, 2015. 14 (3): p. 089-094. [27] Alfieri S, Amid PK, Campanelli G et al. International guidelines for prevention
and management of post-operative chronic pain following inguinal hernia surgery Hernia 2011; 15(3): 239–49. [28] Ielpo and al. Cost –effectiveness of Randomized Study of laparoscopic 17versus Open bilateral inguinal Hernia Repair. Annals of Surgery, 2018; Volume XX, Number XX. [29] Malazgirt Z, K Ozkan .A Dervisque, et al comparison of Stoppa and Lichtenstein techniques in the repair of bilateral inguinal hernia, 2000; 4 (2):264267. [30] Marre P, Pitre J, Timores A. Cure de hernie inguinale chez l’adulte selon le procédé de Lichtenstein. Résultats à 10 ans. EMem Acad Natl Chir, 2009 ; 8 (2): 46-7.
Published
2022-12-31
Issue
Vol 1 No 4 (2022)
Section
original article

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