Open Preperitoneal Mesh Repair for Inguinal Hernia: A Viable Option

Abstract

BACKGROUND:Inguinal hernia still remains a significant clinical problem despite the availability of variety of surgical techniques. This study was designed to evaluate the outcome and benefit of open preperitoneal mesh repair. OBJECTIVE: To evaluate the open preperitoneal mesh repair technique regarding complications, recurrences, safety and benefit. PATIENTS AND METHODS: Between July 2013 and June 2014, a prospective study of 25 consecutive patients operated for groin hernia using an open preperitoneal mesh technique was performed. The outcome variables being analyzed included operative time, time to return to normal activity, pain level, complications and recurrence rate. RESULTS: Wound infection occurred in only 1 patient. No seroma or recurrence was observed. Moreover, pain and hospital stay were not different from those obtained by other repair techniques. CONCLUSIONS: Open preperitoneal mesh repair is a safe procedure and gives a good result similar to those of the commonly used anterior approaches. It is easier to learn than laparoscopic repair and should be the procedure of choice for difficult inguinal hernias.