Inguinal hernia repair; a comparative study, Bassini's versus hernioplasty

ABSTRACT

To compare the results of Inguinal Hernia repair using commonly employed methods of Bassini's and Mesh repair. This study included 90 cases of hernia repair ranging over a period of 18 months from October 2008 to Mar 2010 at Social Security Hospital Lahore. All the cases were done by the consultants and senior surgeons. The methods of repair included Bassini's and Hernioplasty with Prosthetic mesh. Out of 90 patients, 88 were males [97.78%] and 02 were females [2.22%]. Male - female ratio 45 1. The peak incidence was found in 3rd and 4th decades of life. 56[62.22%] had Rt.sided Inguinal hernia, 29 [32.22%] had Lt. sided and 5[5.56%] had bilateral Inguinal hernia. 72 patients [80%] had Indirect Inguinal hernia, 17 [18.89%] had direct inguinal hernia while 1[1.11%] had both types. All the cases were done under Spinal anaesthesia. The Bassini's repair was performed in 50% cases, using non-absorble no. 1 Prolene interrupted suturing [Group- A]. In the Group - B, 50% cases underwent Hernioplasty with prosthetic prolene mesh 6x11 cms. Post-operative follow up was done for a period of 01 year. In the group- A, 3 [6.67%] patients had recurrence and 3 [6.67%] had infection of the wound. In group - B, 01 patient [2.22%] got infected and none of the cases did not get recurrence over a period of 01 year. Hernioplasty with prosthetic mesh is a better treatment modality for inguinal hernia repair to get a low recurrence rate