Comparison of self fixating mesh with Lichtenstein tension free mesh hernioplasty in open inguinal hernia repair

Aims and Objectives: differences in two methods of inguinal hernia repair in terms of operative time, chronic pain at 3 months and recurrence at 6 months. Materials and Method: This study conducted in the department of Surgery, Indira Gandhi Medical College, Shimla from 1st June 2013 to 31st May 2014 included 40 patients admitted in department with inguinal hernia who were fit for surgery. Patients were randomized to self-fixating/gripping Mesh hernioplasty and Lichenstein tension free/ sutured mesh Hernioplasty groups randomly in groups of 20 each. Results: Self-fixating mesh group was associated with significantly decreased operative time (mean 27 minutes) as compared to sutured mesh hernioplasty (mean 44.7 minutes). However, no significant difference was found in post-operative pain (VAS score), analgesia requirement, chronic pain at 3 months, postoperative hospital stay or recurrence at 6 months in either group.Conclusion: The only benefit of using self-fixating of using self-fixating/self-gripping mesh is decreased operative time.