Outcome of Open Inguinal Hernia Repair: Modified Lichtenstein 2-Point Fixed Technique

Abstract

Inguinal hernia is a common surgical condition. The Lichtenstein technique has been shown to have a very low recurrence rate; however, postoperative complications, particularly chronic inguinal pain, are still observed. This study modified the Lichtenstein technique to reduce such adverse effects while maintaining the low recurrence rate. Patient data were retrospectively reviewed from those who underwent open hernioplasty using the Modified Lichtenstein 2-Point Fix Technique between January 2014 and December 2022 at Maharaj Nakhon Si Thammarat Hospital. Data were obtained from the hospital’s hos XP database, and follow-up was conducted via telephone. A total of 668 patients underwent the procedure, comprising 649 males and 19 females, with a mean age of 57.4 ± 16.84 years (range, 12–91 years). The mean operative time was 30.65 ± 13.38 minutes (range, 10–120 minutes). Follow-up information was successfully obtained from 245 patients at least two years after surgery. No recurrence of inguinal hernia was observed in the follow-up group, and 37 patients (15.10%) reported chronic pain. The results suggest that the Modified Lichtenstein 2-Point Fix Technique is a time-efficient procedure with no recurrence and an acceptable rate of postoperative discomfort. This modified approach may serve as a suitable and effective option for general surgeons, particularly in resource-limited settings.