STUDY ON MODIFICATION FOR PAINLESS INGUINAL HERNIA REPAIR

BACKGROUND It is a retrospective study. Aim of this study is to minimise the postoperative pain and increase early mobility of the patient to resume their early normal day-to-day work. MATERIALS AND METHODS Study included 50 patients of which 25 underwent the modified surgery as invagination of sac with ilioinguinal nerve neurectomy and Mesh repair, whereas the other 25 patients underwent conventional excision of sac and mesh repair. DISCUSSION Chronic pain is the most debilitating complication after inguinal hernia repair which affects patient's satisfaction and quality of life. It is found in this study that the patients who underwent modified painless hernia surgery with sac invagination along with neurectomy and Mesh repair have significant painless post-operative period and early mobility for normal work. RESULTS In this study out of 50 patients, the patients who underwent neurectomy with sac invagination did not develop significant pain during 6 months postoperative period in contrast to those who underwent only mesh repair with sac excision. CONCLUSION As this study is in a small scale; however, a large scale study adopting this procedure in a multi-region study can consolidate the present findings.