Publication:

Mesh fixation versus non fixation in open herrnioplasty

Background The goal of this study was to compare herrnioplasty with or without mesh fixation for inguinal hernias, paraumbilical hernia and epigastric hernia.

Methods This study included 288patients (170 males and 118 females) of different age groups with hernia  who were admitted to general surgery department of sohag university hospital during the period from April 2018 to march 2019. Analysis of the clinical presentation, type of hernia and patients risk factors was done. All patients with above mentioned hernias without history of previous operations, was eligible for the study.

Results A total of 288 patients, 123 patients (42.7%) had oblique inguinal hernia, 75 patients (26%) had epigastric hernia, 77 (26.7%) had Para umbilical hernia and 13 (4.5%) had direct inguinal hernia. We had two groups, group (I) with mesh fixation included 141 patients (49%), while group (II) included patients (51%) without fixation of the mesh. Methods of fixation of the mesh in group (I) included suturing in 94 patients (32.6%), while using staples in 47 patients (16.3%). From 288 patients, 26 patients (9%) were hypertensives, 13 patients (4.5%) were diabetic and 13 patients (4.5%) were smokers. Follow up period extended for eight months post operatively, patients without fixation to their mesh had less pain and infection.

Conclusions Herrnioplasty can be carried out either with fixation of the mesh or not, it will not affect recurrence of the hernia and has less cost and operative time.