Comparative Study between Herniorraphy and Meshplasty - 500 Inguinal Hernia Surgeries

Introduction: Hernia needs always surgical procedure for the treatment. There are various procedures, out of which commonly procedures followed are herinotomy, herniorraphy and meshplasty for inguinal hernia. Even though meshplasty is considered as the gold standard in the treatment of inguinal hernia repair, hernirraphy is followed in various centers. Aim: This study was conducted to analyze long-term result of meshplasty and hernirraphy in middle-aged people. Materials and Method: A 500 cases were operated for hernia and out of these cases 84% of cases were operated by meshplasty using Prolene mesh and 16% of cases are operated with herniorraphy. Result: Inguinal hernias are more common in males (99.2%) than in females (0.8%) and incidence of hernia is increasing with the advance of age. Chronic cough (smoking habit) 30.60%, occupational (lifting heavy weights) 21.80%, followed by urinary (benign prostatic hyperplasia, Stricture urethra) 17% of cases are the precipitating factors for hernia formation. Hernia surgery can be done under any anesthesia, but spinal anesthesia is preferred as it has got less post op complications. Among all post-poperative complications scrotal swelling accounts for 16.8%, followed by wound infection 11.2%. In meshplasty recurrence rate is found to be 1.14% when compared with 2.5% in herniarraphy, which is significantly less. Conclusion: Hernia is more common in males and surgery is the only treatment of choice, and there are various procedures. Of which we were comparing herniorraphy and meshplasty. Definitely meshplasty is more popular as well as it has got less recurrence rate.