Dr. Farheen Sanam, Dr. Muddasar Tahir, Dr. Ayesha Shakil
Objective: To document the early results of open mesh repair in the treatment of inguinal hernia. Study design: An observational study. Place and duration: In the Surgical department of Benazir Bhutto Hospital Rawalpindi for six months duration from October 2019 to March 2020. Materials and methods: 420 patients were selected with Non-probability purposive sampling having inguino-scrotal hernia, in whom open mesh repair, were analyzed for early postoperative results, such as postoperative infection, hematoma, and serous sinus discharge. The data was collected by completing a special proforma for each patient. Follow-up visits are scheduled for a week, six weeks, twelve weeks and twenty four weeks after surgery. Results: Polypropylene mesh repair was performed in 420 patients, all of whom were adult men. The age is between 18 and 72 years, on average 46 years. 278 were with the right side hernia (66.19%) and 142 on the left (33.80%). Four (0.95%) had recurrent hernia, two (0.476%) bilateral. After surgery, 392 (93.33%) showed trouble-free recovery, 2 (0.476%) had a large wound infection that had to be removed, and 10 (2.38%) had a small wound infection. Seroma developed in 10 (2.38%) and 06 (1.42%) had scrotal hematoma. No sinus discharge was observed. Conclusion: Repair of open pores of inguinal hernia is a safe and effective technique associated with low morbidity. It is associated with minimal postoperative infectious complications, which was feared in the past due to the presence of foreign bodies (networks). Key words: inguinal hernia, Liechtenstein, mesh repair.