EFFICACY OF MESH REPAIR IN INGUINAL HERNIA AND ITS COMPLICATIONS

Objective: To estimate the effectiveness of mesh repair in inguinal hernia.

Study design: A Prospective study.

Place and Duration: In the department of Surgery for one-year duration from June 2020 to June 2021 in the Khyber Medical College and teaching hospital Peshawar.

Method: A total of 112 patients underwent Mesh repair of 116 inguinal hernia, as 04 patients had bilateral hernias. Inclusion Criteria: Patient with clinical presentation of inguinal Hernia either primary or recurrent in nature. Exclusion Criteria: Patient with other types of groin and extra- groin hernia. Patient, too feeble to withstand surgery.

Results: 112 patients were operated on and included in the study. The follow-up period was one-year, the follow-up rate was 75.0%, 83.03% (n: 93) belonged to the urban area, and 16.97% (n = 19) from remote areas. The age of the patients varies from 21 to 70 years. They were all men. With the main percentage of 31.25% (n = 35) in the 21-30 age group. The incidence of this type of hernia was first clinically diagnosed and finally confirmed during surgery. 85 patients (75.89%) had an indirect inguinal hernia and 27 (24.10%) had a direct inguinal hernia. There were no serious intraoperative complications or postoperative death. 36 (32.14%) complications were observed. They were all managed conservatively.

Conclusions: Inguinal hernia is very common in men, and Lichtenstein repair can be performed safely, quickly, without stress in surgical departments with excellent results, with low postoperative complications and with very minimal chances of recurrence.

Keywords: Inguinal Hernia, Lichtenstein repair, Propylene mesh, Open hernia repair