DOI: 10.36347/sjams.2017.v05i07.048

Pages: 2740-2744

Inguinal hernia is a very common problem. Surgical repair is the current approach. Local anaesthesia is a suitable and economic option for open repairs, and should be popularized in day-care setting. Numerous repair methods have been described to date. Mesh repairs are superior to "non-mesh" tissue-suture repairs, but in some socio economically backward areas and in rural setups still non-mesh tissue repair is being performed. This study is done to compare and demonstrate the efficacy, acceptability, outcomes and recurrences of herniorrhaphy ( Bassinis's repair) and hernioplasty ( Lichtenstein's tension free repair). This retrospective comparative study of herniorrhaphy and hernioplasties was conducted in 62 patients who were admitted and treated in surgical setting from January 2015 to June 2015. Patients were evaluated thoroughly with physical examination, routine investigations, and ultrasonography. Patients were selected either for herniorrhaphy or hernioplasty depending on the age of presentation, tone of the abdominal muscles and size of the defect. All the operated patients were followed up for a period of one year. In the study paediatric hernias subjected to herniotomies were excluded. This study showed that majority of the patients who were subjected to herniorrhaphy were patients below the age of 50 years with good abdominal tone and majority of people above 60 years with weak abdominal tone i.e. those presenting with direct hernias, were subjected for hernioplasty and neither of the patient had any recurrence or other complications. Out of the 38 patients who underwent hernioplasty 3 patients had infection and mesh extrusion and 7 had inguinodynia. Out of the 24 patients who underwent herniorrhaphy 4 had scrotal swelling and about 9 of the patients had increased post-operative pain compared to patients who underwent hernioplasties. But no cases of wound infections were reported in Bassini’s repair.