EVALUATION OF MESH PLUG AND PATCH REPAIR IN THE MANAGEMENT OF PRIMARY INDIRECT INGUINAL HERNIA IN MEN
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Beginning in 1990, tension-free hemioplasties were adopted for the treatment of primary groin hernias in men. Among these techniques, open mesh plug and patch repair revealed encouraging results. The present study aimed to evaluate this technique in comparison to the conventional repair technique (modified Bassini's repair) in a prospective randomized pattern. The study included 120 male patients with primary indirect in guinal hernia for elective surgery. Patients were equally randomized into two groups according to the technique used in the repair. In group I pa tients, open mesh plug and patch repair was employed for the repair, while in group U patients, modified Bassini's repair was used for repair ing the inguinalfloor. The results ohtainedfrom. the two groups were com pared for the period of follow-up, recurrence rate, postoperative complica tions, operative time, analgesic requirement, limitation of daily activity and days off work. The results of the present study revealed significant decrease in postoperative complications, operative time, analgesic require ment and days off work in group I patients. Also, there was no recurrence after mesh plug and patch repair during the period offollow-up. Because the operation could be performed with less dissection and with a smaller incision, Le, minimally invasive, minimal access technique with resultant diminished operative time, less postoperative complications, diminished discomfort, disability, reduced use of analgesic and less rate of recur rence. Thus, this technique is a promising method for repairing indirect in guinal hernia, in adult male.