Functional preperitoneal mesh repair of inguinoscrotal indirect hernia through inguinal approach

ABSTRACT

This study included 43 male patients with 45 inguinoscrotal indirect inguinal hernias, their ages ranged from 33 to 69 years with a mean of 48.1. The hernias were right in 24 patients, left in 17 patients and bilateral in 2 patients [4 operations]. In eight patients, the hernias were recurrent. In bilateral cases, the operations were done sequentially with two months in-between. All the primary hernias were classified as Nyhus type III [posterior wall defect] and the recurrent ones were Nyhus type IV. It was concluded that preperitoneal MeSH repair of inguinoscrotal hernia through inguinal approach has very satisfactory results and is indicated when the posterior inguinal wall is weak, so that the repair of hernia without MeSH makes it liable or recurrence