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  3. 10. Effectiveness of Non-Mesh (Shouldice) Versus Mesh (Lichtenstein) Repair in Inguinal Hernia
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10. Effectiveness of Non-Mesh (Shouldice) Versus Mesh (Lichtenstein) Repair in Inguinal Hernia

1. Gul Sher Khan 2. Musarrat 3. Ishfaq Ali Shah Bukhari 4. Muhammad Ishaq 

5. Israr Ahmed

1. Asstt. Prof. of General Surgery, Surgeon Khalifa Gul Nawaz Teaching Hospital Bannu 2. Asstt. Prof. of

Gynae and Obst., JMC, Peshawar 3. Asstt. Prof. of Pharmacology, JMC, Peshawar 4. Prof. of Surgery, JMC, Peshawar 5. Prof. of Physiology, JMC, Peshawar

ABSTRACT

Objective: To evaluate the optimum method of repair for inguinal hernia with respect to low rate of recurrence, minimum postoperative pain and cost effectiveness.  Study Design:  Retrospective and Comparative study.

Place and Duration of Study: This study was conducted between 2004-2007 in the surgical department DHQ Hospital Karak from .

Materials and Methods: Either 320 patients were randomly allotted to mesh or non-Mesh repair. They were followed up at the 1st week and then 1, 6,12,18,24 and 36th month. Clinical outcome that is, recurrence rate, quality of life, Post-oparative pain etc were noted. 

Results: After 3 year, the recurrence rates were significantly different for the two types of repairs.

Conclusion: The Shouldice is usually suited in primary and unilateral inguinal hernial repair in adult males. In addition, The Lichtenstein is best for bilateral and recurrent inguinal hernial repair in old patients (>60Yrs) and in elective states of repair.

Key Words: Shouldice, Lichtenstein, Inguial Hernia

Citation of article: Khan GS, Musarrat, Bukhari IAS, Ishaq M, Ahmed I. Effectiveness of Non-Mesh (Shouldice) Versus Mesh (Lichtenstein) Repair in Inguinal Hernia. Med Forum 2015;26(1):38-40.