New technique using mesh plug in treatment of oblique inguinal hernia

ABSTRACT

Oblique inguinal hernias can be repaired efficaciously by [tension-free] hernioplasty which has dramatically reduced the expected high failure rate of traditional tissue-based repairs. The use of the, mesh plug has been tried and accepted as a valuable tool to block the defect in many inguinal hernias. The present study intended to evaluate open"anterior [tension-free] hernioplasty in inguinal hernia in a prospective randomize pattern, trying to codify the indications for mesh plug. The study included 30 adult male patients with unilatera uncomplicated oblique inguincl hernias. The results obtained from patients were determind for patient hernia types, multiplicity of previous repairs [s], site and size of the defect, operative time, analgesic requirements limitation of daily activity, day-off work, post 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 operative complications, operative time, analgesic requirements, limitation of daily activity and day-off work in the mesh plug technique. The recurrence 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 optimal, with the advantage of minima dissection, rapid recovery and insignificant post operative complications