Inguinal Hernia Repair; Tension Free Mesh Repair, A New Technique (Adel's Technique)

Abdominal wall hernias represent a common issue in general surgical practice. The definitive treatment of all hernias, regardless of their origin or type, is surgical repair. There is an ongoing debate about whether to repair primary, unilateral inguinal hernias by the open method or the laparoscopic. Many agree that laparoscopic repairs are better for recurrent hernias or bilateral, but its use for primary, unilateral hernias is controversial. So, still the open method has the upper hand in unilateral inguinal hernia repair. There are different methods for repair, nowadays; the most popular method is the mesh repair. In this study, we worked on 200 cases of inguinal hernias, through the period of January 2013, to January 2016. Age groups ranging from 29 – 60 years old, all are males. The aim of this work is to represent the best method for inguinal hernia repair with the least complications especially recurrence. We modified the technique of tension free mesh repair, and we found that by this method we had no recurrence in all cases (recurrence rate 0 %), we had only 4 cases of post-operative superficial wound infection (2 %) & 2 cases mesh infection (1%). In conclusion, this method for unilateral inguinal hernia repair can be utilized for almost all adult inguinal hernias with highly effective repair.

Author(s): Adel Goda Hussein Daibes

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