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RMJ. 2011; 36(1): 10-13


Non-mesh repair of adult inguinal hernia: a simple solution

Shaukat Ali Sheikh, Mohammad Iqbal, Nauman Mustafa, Ihtasham Muhammad Ch, Umer Farooq, Yasir Mehmood.

Abstract
Objective
To describe our experience with a simple technique of inguinal hernia repair in which the weak posterior wall of the inguinal canal is strengthened by continuous suturing of External Oblique Aponeurosis (EOA) behind the cord structures.

Patients and Methods
The study was carried out at PESSI Hospital and rural community hospitals Islamabad from March 2003 to September 2010. During this period, 162 patients between 18-70 years underwent repair of inguinal hernia with this technique. Post operative assessment included analgesia requirement; early and late complications.

Results
Early postoperative course was uneventful. The majority of patients were discharged on day of operation and 1st post operative day (87%) with percentage of recurrence of 1.85%.

Conclusion
Our operation technique is easy to perform, does not require mesh and gives results equivalent to those reported for mesh repair. It can be performed electively as well as in emergency situation. It is suggested that this technique should be adopted in areas having low budget health facilities. (Rawal Med J 2011;36:10-13).



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