Study of a new method for inguinal hernia repair

Abstract

Background: Inguinal hernia accounts for about 80% of all hernias and are the most common surgical procedure done in infants. There are different methods for repairing of inguinal hernia such as tissue repair; rate of recurrence by this method is 1-3%. The purpose of this study was to introduce new method for this surgery and assessing recurrence and complications.Methods: This was a semi clinical trial. 174 patients were considered after five years. (During 1998-2002). In this method after removing of hernia's sac, the floor of inguinal canal was torn in two layers continuously. One of them was torn from cooper ligament to fascia transversalis and the other one was torn from inguinal ligament to conjoint tendon and finally the fascia of external muscle was torn on spermatic cord. The patients were assessed by a questionnaire composed of two sections; one about the site of inguinal hernia and age of patients and the other was composed of questions about complication and recurrence of surgery. Data was compared to other conventional tissue repair using Z test. Results: The mean age of patients were 28-48 years, 164(94%) were males and 10(5/7%) were females, 59(34%) of patients had left inguinal hernia (56 male and 3 female), 92(52%) had right inguinal hernia (88 male and 4 female) and 23(13%) had bilateral inguinal hernia (20 male and 3 female). Two patients (1/1%) had recurrence two years after surgery and no complication were seen after 5 years. Conclusions: There were no significant difference between methods of surgery (1/1% recurrence) and other conventional tissue repair methods (1-3% recurrence). More long evaluation is required to recommend this fast and simple method for routine repair of inguinal hernias.

Keywords

• Double repair
• tissue repair