Mushtaq Ahmad, Abdul Qayum, Viqar Afridi.
Tension free Mesh Hernioplasty is safe and effective.
Pak J Surg Jan ;21(2):76-80.

Objective: To evaluate clinically the outcome of mesh hernioplasty in terms of operation time, patient comfort, hospital stay, return to work, post-operative complications and cost. Design & Duration: Descriptive prospective study conducted from July 2003 to June 2005. Setting: Khyber Teaching Hospital and Lady Reading Hospital, Peshawar. Patients: A total of 80 patients, age >20 years, who presented with inguinal hernia. Methodology: The data of all these patients was analyzed as regard to the clinical outcome, complications and cost. Results: Inguinal hernia repair was performed on 80 patients with a mean age of 52.6 years. Fifty patients had direct while 30 had indirect hernia. The average duration of surgery was 30 minutes. Three patients had wound infection, four had scrotal oedema, and one had haematoma; but none had persistent pain. The length of followup ranged from 2-24 months and no recurrence has been reported so far. The extra expenditure for the mesh and antibiotics make the whole procedure more expensive as compared to simple repair. Conclusion: The tension free mesh repair for the inguinal hernia is a safe, very simple and effective technique, and the overall morbidity is very low. The clinical outcome and a very low recurrence rate has made it the procedure of choice for all hernia patients, inspite of the fact that it is a bit expensive.

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