Posterior wall repair by continues suturing in inguinal hernia meshplasty

Abstract

Background: The conventional method of suturing mesh to posterior wall in inguinal meshplasty is by interrupted sutures. Technique of suturing mesh by continues sutures is a new concept and requires surveillance. Aims: To observe and scrutinize the technique in the form of simplicity, post-operative complication and anatomical reconstruction. Material & Methods: Patients having inguinal hernia were operated upon by present technique of posterior wall repair with continuous suturing in inguinal hernia meshplasty were selected for the study. Patients were observed in pre operative, intra operative and post-operative period & when they attend out-patient clinics. Data was collected in prescribed format& statistically analyzed to draw the conclusion. Result: Out of 20 patients, 19 patients are male and 1 patient is female. The highest incidence was in the 5th& 6th decade of life. No patients were found having major wound infection, seroma formation, or recurrence of hernia. 20 patients (100%) attended our follow up which ranged from 3 months to 6 months. 15 patients (75%) attended the OPD personally for follow up. Remaining 5 patients (25%) were questioned over the telephone and their response recorded. The average hospital stay recorded was 5-6 days. No recurrence was encountered in the follow up group. Conclusion: This technique of suturing of posterior wall repair with continuous suturing in inguinal hernia meshplasty was found to be technically simple, leading to least post op complications and attaining its goal of curing the inguinal hernia by good anatomical reconstruction