WHICH HERNIORRHAPHY IS JUSTIFIED IN STAND POINT OF POSTOPERATIVE DISCOMFORT AND SAFETY

1996 
In order to find out which herniorrhaphy is justified in stand point of postoperative discomfort and safety, Marcy repair, Lichtenstein repair, Transabdominal preperitoneal repair (TAPP), Iliopubic tract repair (AITR), McVay repair and Bassini repair were performed on 97 adult groin hernias. There were no difference in the QOL score of day 1 and 7 among Marcy repair. Lichtenstein repair and TAPP but these scores were superior to those of the other three repairs. The average periods of continuation of discomfort for Marcy repair and Lichtenstein repair were 7±16 and 5±1 (days±SD), which were statistically shorter than those of TAPP, AITR, McVay repair and Bassini repair which were 97±186, 69±53, 125±147 and 59±72 respectively (p<0.01). A chronic pain in the groin subsequently developed in three cases (43%) of TAPP which deteriorated QOL. There were no severe complications for the open repairs, but with TAPP there was a case of small bowel obstruction which was indicated for laparotomy and a case of genitofemoral nerve entrapment. Marcy repair for Nyhus type II and Lichtenstein repair for the rest of hernias are recommended in the aforementioned stand point of view. There was no validity in performing TAPP.
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