COMPARISON OF EFFICACY OF POLYPROPYLENE MESH VERSUS POLYPROPYLENE DARN FOR THE PRIMARY INGUINAL HERNIA REPAIR AND RECURRENCE RATE

Purpose: To evaluate the results in patients undergoing polypropylene mesh or polypropylene end inguinal hernia repair. Study Design: A case control Study. Configuration and Duration: In the Surgical Unit II of Jinnah Hospital Lahore for one year duration from April 2017 to April 2018. Methodology: The study included 260 male patients between the ages of 18 and 80 years. The exclusion criteria are recurrent, bilateral, irreducible and stragulated hernias. Randamization was performed in two groups, ie, repair with polypropylene mesh or polypropylene darn. Repair was performed under general, medullary or local anesthesia. Results: The total number of patients studied was 260. Surgery was performed by surgeons or consultants. In 165 patients, hernia repair was performed using a polypropylene, while in 95 patients the hernia performed with darning and polypropylene 2/0. Other complications and return to normal activity were almost equal in both groups, while 1.81% was the recurrence rate in mesh group much lower than in the darn group, which was 3.15% in the review one year later. Conclusion: Mesh repair is superior to darning in sense of relapse within a year.