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Inguinal hernia is common, particularly in males (around 25% incidence) and less so in females (about 2%). Various procedures are used to repair inguinal hernias, each with different techniques and surgical approaches. The present study aimed to assess the efciency of mesh tissue repair in comparison with non-mesh tissue repair. This prospective observational comparative study was conducted at Bokaro General Hospital, Jharkhand, over 18 months with institutional ethical approval. The study included 100 patients randomly assigned to either the mesh repair group (n=50) or the non-mesh repair group (n=50). All patients were assessed for duration of hospital stay, postoperative pain, complications, and return to work. Mesh repair was associated with shorter hospital stays (4.42 days vs 5.12 days, P=0.001) and lower postoperative pain scores at various intervals (Day 3: 2.64 vs 3.2; 1 month: 0.98 vs 2; 3 months: 0.74 vs 1.5; 6 months: 0.14 vs 0.16, all P0.05). A signicantly higher proportion of mesh repair patients returned to work compared to non-mesh repair patients (100% vs 88%, P=0.011). The study showed that mesh repair for hernias is associated with shorter hospital stays and comparable complication rates to non-mesh repair. Initial differences in return-to-work rates between the groups diminish over time, indicating both approaches are effective, though mesh repair may offer faster recovery.
Patel et al. (Sat,) studied this question.