Journal of AdvancedMedical and Dental Sciences Research

Background: Evaluating the new technique of sutureless mesh repair in terms of post op complications, operative time and hospital stay. Materials & methods: A total of 80 patients were enrolled in the present study. All the male patients between 20-50 years of age and having uncomplicated inguinal hernia and fit for spinal anaesthesia were included in the study. The patient was brought to the operating room where a surgical safety checklist was performed. The inguinal canal was approached from an open anterior approach after dividing the skin, scarpa fascia, and external oblique aponeurosis. Patient was put on i.v. fluids till post op 12 hr. Patients were allowed liquid sips after 12 hours, i.v fluids were given according to the requirement. Any additional drug requirement was recorded in the proforma. First dressing was done after 24 hours. All the patients were discharged normally after 24 hours of post op stay. Sutures were removed on 7th post op day and all the participants were examined for complications on follow-up. Results: Mean duration of operative procedure was 38.1 minutes, with maximum of 51 and minimum of 28 minutes. Mean postoperative pain score at 1 hour, 6 hour, 12 hour and 24 hour was 4.88, 3.81, 2.85 and 1.41 respectively on a scale of 0 to 10. Mean duration of hospital stay was 1.5 days. During the immediate postoperative period, no complication was seen. At 1 week postoperative follow-up, seroma was seen in 2 patients, while infection and scrotal swelling were seen in 1 patient each. Conclusion: Sutureless tension free mesh repair in the treatment of inguinal hernia cases is an effective technique.