DOI: 10.36347/sjams.2020.v08i01.027

Pages: 139-145

Introduction: Inguinal hernias are very common and their repair is one of the commonest surgeries performed in all hospitals. Since the description of anatomical repairs of inguinal hernia of Bassini’s and Shouldice, many new techniques for hernia repair have been introduced including Prolene mesh repair and Laparoscopic hernia repair. It is with the intent of comparing anatomical repairs of Bassini’s and Shouldice with Prolene mesh repair, this study had been done. Comparision was done with respect to post-operative pain, infection, demographic profile, feasibility in selective group, type of inguinal hernia, duration of operation, hospital stay and expenditure. Materials and methods: The present study was carried out in the Department of General Surgery in G R Medical College, Gwalior, Madhya-Pradesh. This was prospective study that collected information from 100 patients from interview. All the patients between 2 – 80 years undergoing hernia surgery from July 2006 to October 2007 were included in the study. Those patients more than 80 years age, medical comorbidities, abdominal wall infection and contraindications to anaesthesia (General and or Spinal) were excluded from the present study. Result: In our study, there was male predominance of inguinal hernia. Most hernias were of indirect type (60%) compared to Direct hernia (39%) and pantaloons hernia (1%). Direct hernia was more evident in old age group (45-60 years) than indirect hernia (30-45 years). Lichtenstein’s tension free meshplasty was comparatively costly and 7 % patients had persistent pain at operated site. The rates of infective complications were not significantly different. There were no recurrences in our study. Mean operative time was 85, 90 and 100 minutes respectively for Lichtenstein’s tension free meshplasty, Bassini’s repair and Shouldice repair. Conclusion: Our results suggest that a general hospital with high patient volume, good training and proper aseptic precautions, anatomical .......