All-in-One Technique versus Lichtenstein Technique for Inguinal Hernia Repair: Comparative Study

Abstract

Background: Chronic inguinodynia is considered the most disabling complications post-inguinal hernia repair. A novel technique (All-in-One Mesh Hernioplasty) is viable for whole cases of the primary inguinal hernia which utilizes a smaller pre-cut mesh covering whole weak regions of the inguinal canal and is wrapped by a fibro-cremasteric sheath to avoid contact between the prosthesis with neural structures. The present study aimed to compare the outcomes of the Lichtenstein technique and the All-in-One Mesh Hernioplasty technique.Methods: A randomized clinical trial was conducted on 80 patients with a primary inguinal hernia in the department of General Surgery, Zagazig University Hospitals, Egypt from January 2018 to January 2020. The patients were categorized equally into 2 groups; Group A involving 40 patients repaired by Lichtenstein technique and Group B involving 40 patients repaired by All-in-One Mesh Hernioplast technique.Results: There was no significant variation (P> 0.05) among the two groups concerning demographic and clinical presentation. There was no significant variation (P> 0.05) among them as regard wound hematoma, infection, seroma, scrotal edema, urine retention. Chronic groin pain, persistent numbness, and foreign body sensation were less in group B than group A and this variation was statistically significant (P=0.003), while there was no significant variation (P> 0.05) between them in hospital stay, time of return to work or normal activity, and mean postoperative follow-up. Conclusions: All-in-One Mesh hernioplasty is a safe and effective technique in repairing the primary inguinal hernia with less postoperative chronic inguinal pain.