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. So, our study was planned to evaluate the efficacy of new technique of sutureless mesh repair. Materials & methods: The study included 100 consecutive patients of inguinal hernia admitted for elective surgery. Inguinal hernia repair was performed by placing mesh on posterior inguinal wall and without applying fixation suture or glue. All the patients were kept fasting for 8 hours, the operation area was shaved and cleaned one day before surgery. Light weight prolene mesh was used. All patients were operated under spinal anesthesia. Postoperative care was done and the patients was put on i.v. fluids till post op 12 hr. Visual analog scale (VAS) was used to evaluate the pain severity of the patients on the 1st postoperative day. Sutures were removed on 7th post op day and all the participants were examined. Results: Punched out defect in transversalis fascia was seen in 19 percent of the cases. Mean duration of operative procedure was found to be 41.58 minutes. Mean postoperative pain at 1 hour postoperatively, 6 hour postoperatively and 12 postoperatively was found to be 4.99, 3.96 and 2.13 respectively. Conclusion: Sutureless tension free mesh repair in the treatment of inguinal hernia cases is an effective technique. Key words: Inguinal hernia, Sutureless