A Comparative Study Of Lichtenstein Tension Free Mesh Repair Vs Transinguinal Pre-Peritoneal Mesh Repair For Inguinal Hernias

Abstract

Introduction:
Inguinal hernia surgery is among the most common surgical procedures performed globally.
The Lichtenstein tension-free hernioplasty is presently regarded as the standard procedure
globally. Which method is the best, though, is still up for debate. When compared to
nonmesh repair, the Lichtenstein tension free hernioplasty considerably reduced the rate of
recurrence in inguinal hernia, which ranged from 2 to 5%. However, it has been reported
that 15–40% of patients experience chronic groyne discomfort, which is currently the most
common consequence following LTF hernioplasty. The International Association for the
Study of Pain (IASP) defines chronic pain as "any VAS score above zero that lasts for more
than three months." Although the underlying causes of the complex incidence of persistent
groyne pain are poorly understood, Following surgery, chronic groyne pain can develop for
a variety of reasons, including nerve entrapment by sutures or mesh, inflammatory response
to the mesh, foreign body reaction, and biocompatibility of the mesh. Pre-peritoneal sutureless mesh placement with transinguinal pre-peritoneal hernioplasty has been hailed as a safe
anterior access. This method is also less expensive and has a lower learning curve. When
compared to Lichtenstein's tension-free technique, the TIPP technique is supposedly
associated with less persistent groyne discomfort after surgery since the mesh is placed in
the pre-peritoneal plane, preventing nerve damage.