tension free repair on inguinal hernia

ABSTRACT

The technique of Lictenstein was used 50 male patients with 57 total primary inguinal hernia repairs. There were 41 indirect and 16 direct hernias. The indirect sac was always ligated high up versus to the original technique in which the sac was simply inverted into the abdomen without excision, suture or ligature. The distance between the arching line of conjoined muscles and pubic ramus was 1-2 cm in 35 cases, 2-3 cm in 14 cases and 3-5 cm in 8 cases. There were 3 wound hematomas with no post-operative wound infections. All patients were discharged within few hours of their procedure and they resumed their daily activities within 2 to 7 days [mean = 3.5 days]. Admittedly, the follow-up period was short [ranged from 1 to 2 years with a mean of 1.5 years] with no recorded recurrences. With the use of polypropylene mesh and local anesthesia, there was no suture line tension, and the technique was simple, rapid, less painful effective and allowing early return to daily activities particularly in old and high risk patients