Journal of AdvancedMedical and Dental Sciences Research

Background: Hernia is generally defined as the protrusion of a viscus from the cavity in which it is normally contained or more precisely, as the protrusion of a loop or knuckle of an organ or tissue through an abnormal opening. Our study was planned to evaluate the new technique of sutureless mesh repair in terms of post op complications, operative time and hospital stay. Materials & methods: 100 consecutive patients of inguinal hernia admitted for elective surgery were enrolled. Patients who will fulfill the inclusion criteria were included into the study after taking detailed consent for the procedure. Inguinal hernia repair were performed by placing mesh on posterior inguinal wall and without applying fixation suture or glue. All patients were operated under spinal anesthesia. The operative field was cleaned and dried. Anti-septic dressing done and patient shifted to ward. Visual analog scale (VAS) was used to evaluate the pain severity of the patients on the 1st postoperative day at 1 hour, 5 hours, 10 hours and 24 hours. Sutures were removed on 7th post op day and all the participants were examined. Results: Mean age of the patients of the present study was 33.8 years. Mean duration of procedure of the patients of the present study was 45.6 minutes. Mean postoperative pain score at 1 hour, 5 hours, 10 hours and 24 hours was 4.66, 3.12, 2.28 and 1.13 respectively. Mean duration of hospital stay was 1.19 days. Seroma formation and infection were seen in 5 percent and 3 percent of the patients respectively. Conclusion: Sutureless tension free mesh repair in the treatment of inguinal hernia cases is an effective technique in terms decreased time of operative procedure and hospital stay, and decreased postoperative complications.