title: Combination of liechtenstein repair with herniorrhaphy in open inguinal hernia repair- a prospective observational single center study.
abstract: BACKGROUND
  This study is about documentation of a technique which includes a combination of both hernioplasty and Herniorrhaphy, and its outcome in terms of recurrence rate and postoperative complications. It also compares the outcome of this method with routinely used techniques reported in the literature.
  
  
  METHODS
  LR with Herniorrhaphy was performed in the patients admitted with inguinal hernia under concerned surgeon. Their follow-up was assessed after 12 months. Incidences of recurrence rate and other postoperative complications like painful scar, atrophy of testis, urinary retention, hematoma, sinus and infection were noted and compared with other techniques of repair from published data.
  
  
  METHODS
  was carried out by calculating the mean, standard deviation (SD), percentage and incidence rates.
  
  
  RESULTS
  LR with Herniorrhaphy performed in 475 patients showed recurrence rate of <<0.01% (n=1) and very low incidences of other postoperative complications like painful scar (0.01%, n=5), sinus (0%, n=0), atrophy of testis (0%, n=0), retention of urine (0.01%, n=6), hematoma (<<0.01%, n=1) and infection (0%, n=0); as compared to published data with different techniques.
  
  
  CONCLUSIONS
  LR with Herniorrhaphy can be used for open inguinal hernia repair as the gold standard procedure as it has got low recurrence rate and other postoperative complications as compared to other techniques. However, the result of this study is based on the data from a single center, thus we recommend multicentric trials to test the efficacy of this technique.
authors.affiliation: Professor, Department of Surgery, Dhiraj General Hospital & Smt. B. K. Shah Medical Institute & Research Centre , Sumandeep Vidyapeeth University, At. Piparia, Ta. Waghodia, Vadodara, Gujarat, India .
authors.forename: Mahesh
authors.initials: M
authors.lastname: Pukar
authors.affiliation: Intern, Department of Surgery, Dhiraj General Hospital & Smt. B. K. Shah Medical Institute & Research Centre , Sumandeep Vidyapeeth University, At. Piparia, Ta. Waghodia, Vadodara, Gujarat, India .
authors.forename: Dhairya
authors.initials: D
authors.lastname: Lakhani
keywords: Complication; Direct; Groin; Haematoma; Hernioplasty; Herniorrhaphy; Indirect; Inguinal; Painful scar; Sinus; Swelling