Surgical Treatment of Inguinal Hernia Retrospective Comparative Study of 100 Cases Evaluating the Results of Both Techniques (Shouldice vs. Lichtenstein)

Abstract

Inguinal hernia is a frequent pathology affecting mainly men, and is defined by the emergence of abdominal viscera through an area of natural weakness in the abdominal wall formed by the inguinal region. They include congenital hernias, which arise from the lack of obliteration of the peritoneovaginal canal, and acquired hernias, which are related to the weakening of the muscular and fascial structures of the inguinal region. In view of its extremely serious evolutionary risk, the treatment of inguinal hernia is exclusively surgical and almost systematic. The real challenge in the treatment of groin hernia is the use of the most suitable surgical repair technique. Our work is a retrospective comparative study of 100 patients operated on for inguinal hernia, 50% of whom were operated on using the Shouldice technique and 50% using the Lichtenstein technique in the visceral surgery department (Wing 3) of the CHU IBN ROCHD OF CASABLANCA over a period of 2 years from 1 January 2005 to 31 December 2006. The aim of our study is to discuss the epidemiological and clinical characteristics, to compare the results of the surgical treatment and the prognosis of the two techniques.