Abstract: 1.1 Background:
Inguinal hernioplasty is one of the most common surgeries perfomed. With the extensive use of prosthetic mesh implants in open and laparoscopic inguinal hernia repair, recurrence rates have decreased substantially. Therefore, the focus has been shifted from the clinical outcomes, such as recurrence, towards patient-experienced endpoints, such as chronic pain. Use of self adhesive mesh eliminates the complication risk, increased operation time, and expense that come with the mechanical fixation of mesh. Hence this study, to prove the efficacy of self-gripping mesh in open and laparoscopic hernia repair in terms of post-op complications, recurrence rate and cost effectiveness.
1.2 Methods: A study was conducted between June 2017 and April 2019. Patients aged between 18 to 60 years with primary inguinal hernia were operated either open or laparoscopically using self-gripping mesh. The patients were followed up for 6 months to look for post-operative complications and recurrence.
1.3 Results: In total, 60 patients, 30 in open group and 30 in laparoscopic group underwent operation. Postoperative pain was low in both groups in comparison to previous studies on use of simple polypropylene mesh fixed with suture or tacker. Self-gripping mesh was found to be more cost effective as compared to polypropylene mesh with added cost of suture or tacker.
1.4 Conclusions: In conclusion use of self-gripping mesh in inguinal hernia repair either in open or laparoscopic method is more efficacious than simple polypropylene mesh.