Repair of inguinal hernia utilizing external oblique muscle sheath as posterior wall strengthening and placing spermatic cord subcutaneously

Dr. Babu Lal Sunkaria, Dr. Hitesh Bhatia, Dr. Priya Bharati, Dr. Sachreet Kaur
2017 International Journal of Current Research in Medical Sciences  
Background-Inguinal hernia can be repaired surgically in three ways: open sutured tissue repair , open mesh repair, and laparoscopic mesh repair . This prospective study aimed at comparing the efficacy of mesh and non mesh repair technique in terms of recurrence rate of inguinal hernia, foreign body reaction, hospital stay and early ambulation, complications. Method-This prospective study was carried out on 50 male patients with inguinal hernia. In 25 cases, after doing posterior wall
more » ... rior wall strengthening of inguinal canal by conventional Bassini's repair, placement of external oblique sheath was done behind spermatic cord reinforcing the dorsal wall of inguinal canal and placing the spermatic cord in the subcutaneous plane. The control group comprised of 25 patients in whom hernioplasty was done using prolene mesh. Results-Most of the patients in study group; 16(64%) were discharged on second day following surgery with mean hospital stay of 2.16, while most of control group patients were discharged on day 3 following surgery with mean stay of 4.32 days. The p value was less than .0001 and the difference was statistically highly significant. Conclusion-Repair of inguinal hernia (Direct & Indirect) utilizing external oblique muscle sheath as posterior wall strengthening and placing spermatic cord subcutaneously as compared to mesh repair is physiological, mechanically reasonable, unsophisticated and results in greater patient's comfort, rapid rehabilitation, is cost effective and sort with lesser complications.
doi:10.22192/ijcrms.2017.03.11.009 fatcat:4ka2bobi2fdhjbsisn2rfdqbva