Outcomes of Tension Free Mesh Repair in Inguinal Hernias– A surgical experience of 67 cases

Dr. Dushyant Kumar Rohit; Dr. R S Verma

Volume : VII, Issue : VI, June - 2017

Outcomes of Tension Free Mesh Repair in Inguinal Hernias– A surgical experience of 67 cases

Dr. Dushyant Kumar Rohit, Dr. R S Verma

Abstract :

The aim of study is to assess the outcomes of mesh repair of inguinal hernias with special reference to the postoperative complications and recurrence rate. This study includes 67 patients who were operated for inguinal hernias in unit III of Department of Surgery, Bundelkhand Medical College and Associated Hospital, Sagar from July 2014 to April 2016 over a period of about two years. All the patients above the age of eighteen years or more with inguinal hernias were included in the study and those presented with obstructed, strangulated and recurrent inguinal hernias were excluded from the studies. The indirect inguinal hernia was the most common followed by direct hernia. Most of the patients presented with pain in the groin, mass in the groin and increase in size on straining. Scrotal oedema and wound infection were the most common early complications followed by wound hematoma and seroma formation. There was no recurrence during one year of follow up. Ninety percent of patients had mild pain for one week but it did not restrict their daily life activities. 10.4% of patients had chronic groin pain interfering with their normal day to day activities. None of the patients required surgical intervention or mesh removal. Tension free mesh repair of hernia is associated with very low morbidity and it is safe and effective method of hernia repair having minimal recurrence rate and postoperative pain.