الفهرس | Only 14 pages are availabe for public view |
Abstract Surgical repair of the hernia is considered to be the only definitive Management of hernia. The outcome of hernia surgery is highly surgeon Dependent ”no disease of the human body, belonging to the province of surgeons requires in its treatment a greater combination of accurate anatomical knowledge with surgical skill than hernia in all its varieties”. The exact cause of inguinal hernia is still unknown but the following factors contribute in its occurrence. A preformed congenital sac, raised intra abdominal pressure and weak abdominal musculature. There is no ”gold standard” operation for treatment of inguinal hernias. The optimal surgical approach must be selected individually for the patient, taking into account patient’s age, hernia size, unilaterality or bilaterality, primary or recurrent status, type of anesthesia, occupation, and patient’s activities. There are three important landmarks in the history of repair of Inguinal hernia: 1.Tissue repair (Eduardo bassini 1887). 2.Onlay mesh (Irving Lichtenstein 1984), tension-free repair. 3.Laparoscopic hernia repair (1990). The study included 60 adult male patients with inguinal hernia, distributed into two groups randomly. group A: underwent Lichtenstein Repair and group B: underwent laparoscopic total extraperitioneal hernioplasty. In patients who underwent Lichtenstein repair the mean age was 40 years, the mean operative time for unilateral cases was 78 min. and for bilateral cases 137.4 min., the hospital stay ranged from 1 to 3 days, with one case of recurrence and they returned to work after 25 +/- 5d |