Partial preperitoneal mesh repair of inguinal hernia :A new approach

<p><strong>Context: </strong>One of the commonly performed surgeries for inguinal hernias is tension free mesh repair (Lichtenstein Mesh Repair). Recurrence after lichtenstein repair varies between 0-12%, with a mean of 3-4%. The common sites of recurrences include area just above and lateral to pubic tubercle, area lateral to internal ring. The following study is conducted with the intension of evaluating the efficacy of the newer method of mesh fixation</p> <p><strong>Aim:</strong> To study the factors of postoperative pain, morbidity and recurrence following partial pre-peritoneal mesh repair of inguinal hernia and comparing the same with Lichtenstein repair of inguinal hernia</p> <p><strong>Methods and Material:</strong> Patients were divided into group A and group B who underwent Lichrenstein and partial pre-peritoneal mesh repair respectively. Postoperatively patients were followed up up to 1 year and various factors such as pain, loss of sensation and recurrence were evaluated.</p> <p>Results: During 8 day follow-up, patients who underwent partial pre-peritoneal mesh repair complained less pain compared to other group. But they had higher chance of loss of sensation. During later follow-ups no significant difference was noted. No recurrence was noted in our study.</p> <p><strong>Conclusion: </strong>Partial pre-peritoneal mesh repair can be used as an effective alternative to Lichtenstein mesh repair with the advantage of covering the potential weak point of medial and lateral ends inguinal canal more widely.</p> <p>&nbsp;</p>