Comparison of modified darn repair and Lichtenstein repair of primary inguinal hernias.
OBJECTIVE
This study was designed to compare the results of the Modified Darn Repair through Lichtenstein procedure in inguinal hernias.


METHODS
The study involved 322 patients with inguinal hernia, operated in General Surgery Departments of Gulhane Military Medical Academy and Sirnak Military Hospital between 1998 and 2004. The durations of operation time, hospitalization, and time to return to daily activities and postoperative complication and recurrence rates were evaluated. Lichtenstein procedure was applied on 170 patients (Group 1), and modified darn repair was applied on 152 patients (Group 2).


RESULTS
The average follow-up period was 56 months. For the Lichtenstein procedure, the average duration of operation was 56 min; the average time to return to routine activities was 20 days. The number of patients with postoperative complications was 20 (11.7%), and the number of patients with recurrence was 1 (0.6%). For modified darn repair, the average duration of operation was 48 min; the time to return to daily activities was 20 days. The number of patients with postoperative complication was three (1.9%), and no recurrences were noted. The hospitalization time of the groups was similar.


CONCLUSIONS
Modified darn repair is a reliable method for inguinal hernia repair with short hospitalization time, low rate of postoperative complications, and recurrence.
Zeybek
Nazif
N
Gulhane Military Medical Academy, Department of General Surgery, Ankara, Turkey. nzeybek@hotmail.com
Tas
Huseyin
H
Peker
Yusuf
Y
Yildiz
Fahrettin
F
Akdeniz
Ali
A
Tufan
Turgut
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D012008:Recurrence; D016896:Treatment Outcome