Morbidity of mesh repair in inguinal hernias

ABSTRACT

Hernia is protrusion of any viscous or part of viscous from its proper cavity. Inguinal hernias are the commonest variety amongst all ages and both genders. The most widely practiced operation for inguinal hernia is Lichtenstein tension free mesh repair. Mesh repair, although is best known technique, it still has got morbidity in form of postoperative pain at operation site, urinary retention, scrotal hematoma, wound infection, testicular atrophy and recurrence. In experienced hands, however, this morbidity is significantly reduced. Bring to light the morbidity in our setup and then compare it with other studies available from eastern setup. We studied a total of 200 male patients having inguinal hernias, in CMH Kharian, from Mar 2005 to Mar 2007. Unilateral Lichtenstien tension free mesh repair was performed under general aneasthesia as indoor case. All patients were followed up in OPD, upto one year, to see any complication. 69 patients had mild pain, 113 patients had moderate pain and 18 patients had severe post op pain. Wound infection occurred in 03 patients. Scrotal hematoma formed in 05 patients. Urinary retention occurred in 07 patients, Testicular atrophy occurred in 01 patient. Chronic scar pain was reported by 02 patients. We came to the conclusion that mesh repair is the safest procedure having minimal morbidity