The Lichtenstein Technique In Inguinal Hernioplasty: Quantitative Analysis Of Outcomes In Surgical Emergencies
Authors: Pereira Pedro Paulo do Carmo , Gonçalves Amanda Marçal , Linhares Maria Fernanda Queiroz , Sznejder Ethel , Guerra Nicolas Guimarães , Chaves Kamila Hyath , Marques Maria Clara Porto Fernandes , Lins Eugênia de Souza , Guimarães Lara Vale , Tenório Lylian Gabriela Lucena , Cabral Ana Janaína de Vasconcelos , Bezerra Thamires dos Santos , Silva João Arthur Francisco de , Vasconcelos Filho Francisco Charles de , Carlos Junior Marcello Laporta , Dias Giovanna Emylle Sena , Silva Maria Eduarda Souza da , Farias Anna Carolyne Barbosa , Redígolo Pâmella Caroline , Garcez Leonardo Clinio , Santana Tomás Soares , Deonísio Ihago Gabriel Silvestre , Aires Saulo de Sousa , Figueiredo Luiz Guilherme Pereira de , Freire Ingrid de Menezes , Rodrigues Emanuele Honório , Lazaroto Nathalia Pinheiro 
Published: February 2025

Objective: This study aims to systematically and quantitatively analyze the outcomes of the Lichtenstein technique in inguinal hernioplasty performed in emergency settings, focusing on its effectiveness, safety, and impact on postoperative recovery.

Theoretical Framework: Inguinal hernias are among the most common surgical conditions worldwide, with the Lichtenstein technique established as the gold standard for repair due to its simplicity, low recurrence rates, and effectiveness. However, its application in emergency scenarios presents unique challenges, including higher risks of complications and longer recovery times. Studies have compared the Lichtenstein technique to other approaches, such as laparoscopic and Desarda methods, to assess its suitability for urgent surgical interventions.

Method: A systematic review was conducted using PubMed, Scopus, and Web of Science databases to identify relevant studies published between 2014 and 2024. The inclusion criteria focused on studies analyzing postoperative outcomes, recurrence rates, and complications in emergency inguinal hernia repairs using the Lichtenstein technique. Exclusion criteria eliminated studies without an emergency context, insufficient outcome data, and non-English publications.
Results and Discussion: The review findings indicate that the Lichtenstein technique offers favorable outcomes in emergency settings, with low recurrence rates and reduced operative time compared to other techniques. However, concerns about mesh-related complications, infection risks, and postoperative pain necessitate careful patient selection and adherence to surgical best practices. Studies comparing the technique to laparoscopic and non-mesh approaches suggest that while Lichtenstein remains a reliable choice, alternative methods may offer benefits in specific clinical scenarios.

Research Implications: This study highlights the need for further large-scale, multicenter research to establish standardized protocols and optimize surgical strategies for emergency inguinal hernia repair. Future studies should focus on long-term outcomes, cost-effectiveness, and patient-centered factors such as pain management and quality of life.

Originality/Value: This systematic review provides valuable insights into the efficacy and safety of the Lichtenstein technique in emergency hernioplasty, offering evidence to support clinical decision-making and improve surgical outcomes in high-risk patients.