A Comparative Study of Non-Fixation Versus Fixation of Mesh in Totally Extraperitoneal Repair of Inguinal Hernia

Non-Fixation Versus Fixation of Mesh in Totally Extraperitoneal Repair of Inguinal Hernia

Abstract

Background: To compare non-fixation versus fixation of mesh in totally extraperitoneal repair of inguinal hernia. Subjects and Methods: Eighty- four patients of inguinal hernia of either gender was enrolled in present study. We divided patients into 2 groups of 42 each. Group I was non-fixation and group II was fixation group. Parameters such as the operative times, immediate post-op pain, incidence of urinary retention, duration of hospital stay, days taken to return to activity, recurrence rates and chronic groin pain was recorded. Pain was determined using visual analog scale. Results: There were 22 males and 20 females in group I and 18 males and 24 females in group II. Duration of symptoms (months) was primary symptoms seen in 36 and 34 and recurrent hernia in 6 and 8 in group I and II respectively. Side was unilateral seen in 32 and 28 in group I and II and bilateral in 10 and 14 in group I and II. ASA grade I was seen among 30 in group I and 32 in group II and II in 12 in group I and 10 in group II.  respectively. A significant difference was seen (P< 0.05). The mean pain score at 24 hours was 3.52 and 3.02, chronic groin pain was seen in 3 and 4, mesh infection in 2 and 1, post site hernia in 1 and 1 and recurrence in 2 and 0 in group I and II respectively. A significant difference was seen (P< 0.05). Conclusion: Non- fixation inguinal repair offered advantage of decreased operative time and less post-operative pain.