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. |
