Journal of AdvancedMedical and Dental Sciences Research

Background: Inguinal hernias account for 75% of abdominal wall hernias, with a lifetime risk of 27% in men and 3% in women. "Non-mesh" repairs may be considered as an option in women. Transversalis fascia is often quite strong in women and indirect hernias in these patients can be treated without a mesh. Marcy repair where internal inguinal ring is narrowed by one or a couple of sutures is also rarely used in certain cases with a small indirect hernia and a normal-size internal ring. So this study is planned to evaluate of results of a new technique of sutureless mesh repair of inguinal hernia. Materials & methods: 50 Male patients between 20-50 years of age and having uncomplicated inguinal hernia and fit for spinal anaesthesia were enrolled. Inguinal hernia repair were performed by placing mesh on posterior inguinal wall and without applying fixation suture or glue. Visual analog scale (VAS) were used to evaluate the pain severity of the patients. Sutures were removed on 7th post op day and all the participants were examined for complications. After completing the collection of data through already designed structured performa, it was statistically analysed using SPSS software. Results: Mean postoperative pain score at 1 hour, 6 hours, 12 hours and 24 hours was 4.86, 3.69, 2.94 and 1.83 respectively. During the immediate postoperative period, no complication was seen. At 1 week postoperative follow-up, seroma was seen in 2 patients (4 percent), while infection and scrotal swelling were seen in 1 patients (2 percent) and 2 patient (4 percent). No complication was seen in patients at three month and six month follow-up. Conclusion: Sutureless mesh repair in the treatment of inguinal hernia cases is an effective technique in terms of occurrence of postoperative complications, time of procedure and cost effectiveness.