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Volume 9 Issue 2 ( July- December) 2020

Original Articles

Assessment of Efficacy of Sutureless Mesh Repair of Inguinal Hernia: A Clinical Study
Dinesh Kumar, Pankaj Mehrotra, Atul Tandon, Milan Sachan

Background: In general, the term "hernia" refers to the protrusion of a viscus from the cavity in which it is typically enclosed, or, more specifically, the protrusion of a loop or knuckle of an organ or tissue through an aberrant orifice. In order to assess the effectiveness of the new sutureless mesh repair technology, our study was designed. Materials &Methods: 50 consecutive inguinal hernia patients who were admitted for elective surgery in Department of General Surgery, Rama Medical College Hospital & Research Centre, Kanpur, Uttar Pradesh (India) were included in the study. Mesh was positioned on the posterior inguinal wall to treat an inguinal hernia without the use of glue or fixation sutures. All patients were required to fast for eight hours, and the surgical site was cleaned and groomed the day before the procedure. Prolene mesh that is lightweight was employed. Spinal anaesthesia was used throughout all patient operations. The patients received postoperative care and were given IV fluids for the first 12 hours after surgery. The patients' pain level was assessed using a visual analogue scale (VAS) on the first postoperative day. On the seventh post-operative day, the sutures were removed, and every participant was inspected. Results: The present study included assessment of 50 patients within the age group of 20 to 50 years. Mean age of the subjects was 25.7 years. 52 percent of the patients belonged to the age group of 20 to 30 years. 30 percent of the patients belonged to the age group of 41 to 50 years.Right side involvement occurred in 70 percent of the cases, while left side involvement occurred in 30 percent of the cases.While classifying patients on the basis of content, it was observed that gut was present in 14 percent of the cases, while omentum was seen in 86 percent of the cases. Conclusion: Based on the aforementioned findings, the authors came to the conclusion that sutureless tension free mesh repair is a successful method for treating inguinal hernia cases.

 
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