Beginning in 1990, tension:free hemioplasties were adopted for the treatment ofprimary groin hemias 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 pattem. The study included 120 male patients with primary indirect inguinal hemiafor elective surgery. Patients were equaUy randomized into two groups according to the technique used in the repair. In group I patients. open mesh plug and patch repair was employed for the repair, while in group II patients, modified Bassini's repair was used for repairing the inguinaljloor. The results obtainedJrom the two groups were compared for the period offolloW-Up. recurrence rate, postoperative complications, 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 requirement and days offwork 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 peiformed with less dissection and with a smaller incision. i.e. minimaUy invasive, minimal access technique with resultant diminished operative time, less postoperative complications. diminished discomfort, disability, reduced use of analgesic and less rate of recurrence. Thus, this technique is a promising methodfor repairing indirect inguinal hemia in adult male. |
