Effectiveness of open pre-peritoneal approach in the treatment of inguinal hernia in adults

Abstract

Background: Bassini (1844–1924) transformed inguinal hernia repair into a successful venture with minimal morbidity. The success of the Bassini repair over its predecessors ushered in an era of tissue-based repairs. Inguinal hernia repair underwent its most recent transformation. Laparoscopic inguinal hernia repair as the Trans Abdominal Pre Peritoneal (TAPP) repair, and the Totally Extra Peritoneal repair (TEP). The most significant advances to inguinal hernia have been repair through open pre-peritoneal approach. The most significant advances to inguinal hernia have been repair through open pre-peritoneal approach. The advantage of pre-peritoneal approach is that the prosthetics can be placed between hernial contents and hernial defects. The need for present study is to review the effectiveness and complications of open pre-peritoneal approach in inguinal hernia repair. Methods: A prospective observational study in patients who had undergone open pre-peritoneal mesh repair in Narayana medical college, Nellore. Sample size- a total of 50 patients are taken in this study. Results:In this present study 50 cases of inguinal hernia were taken and operated by open pre-peritoneal approach. Conclusion:In this present study the effectiveness of pre-peritoneal approach in Inguinal hernia was studied in terms of post-operative pain, wound complications, time to return to pre-operative physical activities and short term recurrence.There was no recurrence rate on follow-up, Post operative pain was low compared to other approaches from various studies, and time to return to normal activities was significantly less than the other repairs.