Outcome of non-fixation versus fixation of the mesh in Lichtenstein repair of inguinal hernia

Abstract

Aim.  Although  inguinal  hernia  repair  is one  of  the  most  frequently  performed surgical  procedure  worldwide,  the  ideal  repair  still  not  accepted  yet.  Aimed  that Lichtenstein hernia repair method, non-fixation technique can be used safely with better results in term of reducing operative time and pain.
Materials and Methods. The study included 85 patients who referred to the surgical outpatient clinic of Tikrit teaching hospital and all of them underwent Lichtenstein hernia repair.
The  standard    procedure    done   in  42  patients    (group   A);   while   the   non-fixation technique used in 43 patients (group B). All patients were  followed and examined for pain, scrotal edema,  and the presence  of seroma in the  7th postoperative  day and for paresthesia, neuropraxia, and recurrence in the 6th postoperative month.
Results. Operative time and pain scores in the non-fixation group were significantly lower,  the operative   time  was  significantly   shorter  in group  B (P = 0.001),  and the  VAS scale was higher in group A (P = 0.001), without any increase in rates of recurrence.
Conclusion.    Based   on  these   findings,   in  Lichtenstein    hernia   repair   method,   non- fixation technique can be used safely with better results.