Meshless treatment of open inguinal hernia repair: a prospective study

Abstract

Objective:To evaluate two types of meshless open inguinal repair and to evaluate the recurrence rate.Methods:We operated on sequentially 98 men and 15 women with 144 unilateral or bilateral inguinal hernias between December 1988 and April 2007. The surgeries were performed by two experienced surgeons and divided into two groups: Bassini or McVay reconstructive surgery techniques. Bassini type reinforcements were employed for Nyhus II and IIIB with minor destruction of the posterior wall. Patients with Nyhus type IIIA, type IIIB with major destruction of the fascia transversalis, and type IIIC were subjected to the McVay technique.Results:Seventy-five hernias were corrected using the McVay technique. Only two recurrences (2.67%) were observed in this group. For group Bassini, two recurrences for 69 hernias (2.89%) were observed (p=0.658). Mean age for the recurrent group was 56 years. No differences were observed between the ages of males and females (52 years).Conclusions:Non-mesh repair in inguinal hernia can be safely used if performed by experienced surgeons.

Comparison Between Techniques of Inguinal Hernia Repair: Retrospective Study

“…In the same results of Finch, et al [12], Zeybeck, et al [13], Kaynak, et al [14], and Rongviriyapanich [15] that showed the comparable recurrence rate and postoperative complication between darning technique and Lichtenstein hernioplasty but had better outcome in cost of treatment. In the same way, Kassab et al [16] and Naveen, et al [17] reported that Bassini's technique was comparable to Lichtenstein hernioplasty in recurrence rate and was better in postoperative pain. In the aforementioned studies show that Lichtenstein hernioplasty is now standard treatment for inguinal hernia repair, but non-mesh based technique such as darning technique or Bassini's repair were also used in rural area of the developing countries due to lower cost of treatmen.…”