INGUINAL HERNIA REPAIR IN A PERIPHERAL HOSPITAL

Abstract

Objective: To know the results of two commonly employed surgical procedures
i.e., Darning and used of Mesh for inguinal hernia repair in adults, considering the cost effectiveness and better
compliance. Design: Case descriptive study. Place and duration of study: Combined Military Hospital, Chunian - Distt
Kasur, from November 2004 to April 2006. Patients and Methods: Sixty adult males with the mean age of 48 years
had inguinal hernia repair. Only two surgical procedure adopted. Group I includes 10 patients (16.3%) who had
prosthetic Mesh repair. Operative time and hospital stay was almost same in both groups. Results: Out of 60 cases,
38 patients (63%) had right sided, 19(32%) had left sided and 03(05%) had bilateral inguinal hernia. 42(70%) had
indirect hernia, 17(28.3%) had direct hernia and only 01 patient (1.7%) had both types of hernia. In group-1, 04 patients
(8%) had postoperative discomfort in the groin, 02 patients (4%) had scrotal haematoma and 01 patient (2%) had
superficial wound sepsis. In Group - II, 01 patients (10%)had postoperative discomfort and only 01 patient (10%) had
wound sepsis. Not even a single case of recurrence developed in ant of the groups, during the periods of follow up and
also no case of chronic residual neuralgia. Conclusion: Based on my study, it is concluded that Darning with prolene
is a safe and cost effective procedure than the use of prosthetic mesh.