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"I have never criticized the
Lichtenstein mesh repair. There is no reason for me doing so when amid and
Lichtenstein themselves have written “In mobile areas such as the groin there
is a tendency for the prosthesis to fold, wrinkle or curl around the cord. More
importantly, in vivo, mesh prosthesis loose approximately 20% of their size
through shrinkage. The slightest movement of the mesh from the pubic
tubercle, the inguinal ligament and the area of the internal ring, due to the
above factors, is a leading cause of failure of mesh repair of inguinal
hernias.” (1) Also an editorial in Annals
of Surgery, January 2001, raised the question of whether the changed
techniques of hernia repair in recent years, mainly implanted mesh, have
caused a rise in the incidence of chronic groin pain from 1%to 28.7%after
hernia repairs. Bay-Nielsen et al (2004)
reported an incidence of 33.1% at 6-12 months and 23.1% at 25-36
months of chronic groin pain following Lichtenstein repair.(2) Nienhuijs
SW et al (2005) reported that the “chronic groin pain is also a very common
problem” in their randomized clinical trial comparing PHS, mesh plug repair
and Lichtenstein repair. (3)
Considering all the above points, I think, this new method of hernia repair
will stand the test of time and will prove its superiority in any controlled
trial. AUTHOR: PROF. DR. DESARDA MP: Hernia.
(2006) 10:200-201. Click on ‘Location’
link below to open a page that gives detailed information about charges,
schedule of operation, admission procedure, pictures of hospital
building, operation theatre and how to reach to us. |
