Oblique inguinal hernias can be repaired efficaciously by "tension-free"
• hemioplasty which has dramatically i educed the expected high failure
rate of traditional tissue-based repairs'.-Vie use of the, mesh plug has
been tried and accepted as a valuable tool to block the defect m many mguinal
hernias. The present study intended to evahiale open"antenor"
tension-free" hemioplnsly in inguinal hernia in a prospective randomize
pattern, trying to codify the indications for mesh plug. The study included
30 adult male patients with imilatera uncomplicated oblique inguinal her
nias. The results obtained from patients were determind for patient her
nia types, multiplicity of previous repatrsls), site and size of the defect,
operative time, analgesic requirements limitation of daily activity, day-qff
work, posL operative complication, follow up period and recurrence rate
The results of the study revealed that the size of the defect was 3cm. or
less in 76.7% of patients. Also there was significant decrease in post op
erative complications, operative'tune, analgesic requirements, limitation of
daily activity and day-qff work in the mesh plug technique. The recur
rence rate was (6.7%) during the follow up period (from. 12 to 46 months).
Because many recurrent inguinal hernias, especially first-time recurrence,
have a small (3cm or less), rarely more than one defect, the plug repair is
optunn^jwilh the advantage of minima dissection, rapid recovery and in
significant post operative complications. |
