A COMPARATIVE ANALYSIS BETWEEN NON-MESH (BASSINI’S) AND MESH (LICHTENSTEIN) REPAIR OF PRIMARY INGUINAL HERNIA

Arshad M Malik, Asad Khan, Atif Jawaid, Abdul Aziz Laghari, K. Altaf Hussain Talpur

Abstract


Background: The groin hernia repair is one of the common operations in general surgery. The optimum
repair method is under debate and the best mode of repair is yet to be decided. This study is conducted to
compare the results of open non-mesh (Modified Bassini’s) and Lichtenstein’s mesh repair of primary
inguinal hernia in terms of recurrence, postoperative complications and quality of life in the long term.
Methods: This retrospective comparative analytical study includes 840 patients of which 40 patients were
excluded from the study due to various reasons. The remaining 800 patients with unilateral primary
inguinal hernia, above 16 years of age, operated during January 2000 to December 2007 in a teaching
hospital are included in the study. Of the total number, 392 patients (49%) underwent Lichtenstein mesh
repair, while remaining 408 patients (51%) were operated by modified Bassini’s suture technique. Follow
up was conducted 1, 5, 8 and 15 days; 1, 2, 6, 24 and 36 months. Results: The recurrence rate and
postoperative pain were significantly low in Lichtenstein mesh repair compared to open non-mesh repair
by modified Bassini’s technique (p<0.001). Recurrence occurred in 8 (2.0%) out of 392 patients those
with Lichtenstein mesh repair. On the other hand 29 (7.1%) patients with Bassini’s repair reported
recurrence within 3 years time. Conclusion: Mesh repair of inguinal hernia is much superior to non-mesh
repair in terms of recurrence and postoperative chronic pain.
Keywords: Inguinal hernia, open repair, Lichtenstein repair, morbidity, recurrence

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