DARNING VS BASSINI REPAIR FOR INGUINAL HERNIA

A PROSPECTIVE COMPARATIVE STUDY

Abstract

Introduction: Inguinal hernia repair is the most common surgical procedure performed after appendicectomy. There are many methods of repair practiced through out the world amongst which are the open hernia repairs and laparoscopic repair, two main types. Aims and Objectives: To find out the early recurrence within one year of the two open conventional methods, darn repair verses Bassini repair for the inguinal hernia. Patients and Methods: This study was carried out in the Surgical Unit 1 Allied hospital Faisalabad. One hundred adult male patients admitted in surgical unit I with clinical diagnosis of incomplete indirect inguinal hernia, were randomized to Bassini or Darning repair. Patients with contraindications for general anaesthesia, coagulation problems and those presenting with strangulated and obstructed hernia were excluded form the study. Results: Out of 100 patients, Fifty underwent Bassini repair with prolene and the other 50 had Moloney's Darn repair with prolene.65% of patients were in 20-24 yrs age group. Sixty four percent patients had right sided inguinal hernia.88 % had reducible inguinal hernia. In post operative complications, six patients with darn and 10 patients with Bassini had pain requiring strong analgesics. Haematoma was formed in 1 patient with darn and 2 patients with Bassini. Wound infection occurred in one patient with darn and three patients with Bassini. Only one patient with Bassini repair came back with recurrence after six months of operation. Conclusion: Bassini repair and Moloney's darn repair are comparable for young patients having primary hernia. However, Moloney's darn repair is superior in terms of post operative pain, need for analgesia and early ambulation.