Abstract

Repair of an inguinal hernia is one of the surgeries that is done the most often overall in general surgery. Inguinal hernia surgery has progressed to the point that tension-free mesh repair is considered the gold standard. One of the most often used approaches at the present time is known as the Lichtenstein method. The utilization of prosthetic materials led to a reduction in the frequency of hernia recurrence; however, the persistent pain and the sensation of having a foreign body in the inguinal region after surgery is still a significant problem, and it contributes to a decline in the level of patients' quality of life . Aim: The aim of the current clinical research was to evaluate early and late results after inguinal hernia repair using the Lichtenstein procedure with the heavyweight mesh (HW) and the lightweight mesh (LW) over the course of a three year follow-up period. Material and methods: Participants in the research were required to be at least 20 years old and to have had elective surgery for the treatment of a unilateral primary inguinal hernia using the Lichtenstein procedure. A number of preoperative characteristics, such as gender, age, body mass index, employment, cigarette use, risk categories determined by the American Society of Anesthesiologists (ASA), and co morbidities, as well as the location of the hernia, were investigated in this study. Results: 200 patients received inguinal hernia repair with Lichtenstein method. 200 of these patients were randomly assigned to each of the two groups in equal numbers (100 patients in each group). The procedures that were scheduled for each of these individuals were successfully completed. In the LW group, there were a total of 9 early problems (including wound infection, hematoma, and seroma), whereas the HW group recorded a total of 11 early complications (11%). The difference did not statistical significant (P 0.70). After one year had passed after the operation, each group had a total of two cases of hernia that had returned. On the other hand, there was no discernible difference between the two groups. According to the average scores obtained with the VAS, there was also not a discernible difference between the two groups. Conclusion: In conclusion, based on the findings of our observational research, a comparison of the employment of LW and HW meshes in Lichtenstein hernioplasty in primary inguinal hernia suggested that there was no significant difference in terms of wound complications, hernia recurrence, and chronic discomfort.

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