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ORIGINAL ARTICLE
Year : 2020  |  Volume : 33  |  Issue : 4  |  Page : 1309-1314

Early outcome of darn repair versus Lichtenstein mesh hernioplasty for open primary uncomplicated inguinal hernia


1 Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt
2 Department of General Surgery, Ministry of Health, Menoufia, Egypt

Correspondence Address:
Ahmed M. E. S. A. Badawy
Shibin El Kom, Menoufia 32511
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_101_20

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Objective To evaluate the early outcome of mesh hernioplasty versus darn repair for the treatment of primary uncomplicated inguinal hernia. Background The definitive treatment of inguinal hernia is surgery. The gold standard for open inguinal hernia repair is Lichtenstein tension-free mesh repair, but after a long period of using this technique, complications were noted such as chronic postoperative pain, cost-effectiveness, and infection. So, the present study evaluated the darn repair compared with Lichtenstein repair for inguinal hernia treatment. Patients and methods Between October 2018 and December 2019, this prospective case-controlled study was done on 60 patients presenting with uncomplicated inguinal hernia. The 60 patients were randomly divided into two groups. Group A consisted of 30 patients who underwent darning repair, and group B conducted of 30 patients who underwent Lichtenstein repair. Results The operative time in group A (64.5 ± 6.4 min) was significantly longer than in group B (47.9 ± 6.05 min) (P < 0.001). Recurrence occurred in two cases in group A compared with one case only in group B. Chronic pain was evaluated by visual analog scale. It was highly significant in group B compared with group A (P < 0.001). There were insignificant differences between the two groups regarding the other postoperative complications. Conclusion The darning technique could be an effective and safe procedure for the treatment of primary inguinal hernia.


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