Mesh Hernioplasty in Obstructed Inguinal Hernia

Volume : VII, Issue : VI, June - 2018

Dr. Altaf Ahmed Malik, Prof. Ajaz Ahmad Rather

Background: Mesh Hernioplasty in patients undergoing emergency obstructed inguinal hernia repair is considered impractical, mostly because of

potential infectious complications.

Objective: The main aim of this study was to assess the feasibility of Lichtenstein mesh hernioplasty in treating obstructed inguinal hernias.

Material: This study was undertaken in the department of General Surgery SKIMS Medical College Hospital from July 2014 to March 2018. 39

patients were included in the study. All patients underwent Lichtenstein mesh hernioplasty for obstructed inguinal hernia in emergency operating

room.

Results: 6 patients (15.38%) developed seroma which was managed by adequate drainage. 4 (10.25%) patients had culture proven wound site

infection but responded well to local drainage and antibiotics. 2 (5.12%) patients developed systemic sepsis. 4 patients (10.25%) developed

recurrence over a follow–up period of 1 year.

Conclusions: Mesh repairs can be safely performed in obstructed/ incarcerated inguinal hernias.