OBJECTIVE: To evaluate the efficacy and safety of darn method with polypropylene in primary inguinal hernia repair in terms of postoperative complications and early recurrence rate.
STUDY DESIGN: Descriptive case series study.
PLACE AND DURATION OF STUDY: This study was conducted in surgical Unit II Sandeman Provincial Hospital Quetta, from January 2008 to March 2010.
PATIENTS AND METHODS: One hundred ten patients of primary inguinal hernias were included in the study. After examination/investigations, patients were operated for hernia repair by darn procedure, under spinal or general anesthesia. All the patients were discharged on 2nd to 4th postoperative day. These patients were followed up after one week, three weeks for early complications and after three months, six months and one year for early recurrence.
RESULTS: Out of 110 patients, 18 (16.4%) patients presented as direct hernias, 89 (80.9%) indirect hernias, 3 (2.7%) were with dual oblique; in (55.5%) of the patients hernia was right sided, (38.2%) had left sided and (6.4%) had bilateral inguinal hernias respectively. Mean age of the patients was 42.06 years. Fifty-one patients were operated under spinal and 59 under general anaesthesia. Overall, postoperative complications were seen in 9.9% patients. Complications developed were 2.7% wound infection, 1.8% scrotal hematoma and 3.6% urinary retention. Postoperative neuralgia was 0.9%. Only one patient (0.9%) developed recurrence of hernia.
CONCLUSION: We concluded that in primary inguinal hernias darn repair with polypropylene is safe, effective, and economical method with low recurrence rate.
Inguinal hernia, darn repair, polypropylene, post operative complications, recurrence.