Tension Free Inguinal Hernia Repair Comparing Open Mesh with Darn

Back ground: The inguinal hernia is the most common general surgical procedure performed nowadays. there are multiple types of hernia repair for inguinal hernia but no one chosen to be the standard.

 Aim of the study:  Is to compare two tension-free techniques of inguinal hernia repair, the Moloney darn repair (MDR) and Lichtenstein mesh hernioplasty (LMH) in respect to operative time, hospital stay, and post-operative analgesia, complication and recurrence rate. Patients and Methods:  A total of 120 patients with primary inguinal hernia were selected from January 2019 to January 2021. The patients were distributed in to two types of tension free hernia repair. 60 patients were treated with Moloney darn repair and categorized as a group A. 60 patients were treated with Lichtenstein hernioplasty and categorized as a group B. Results:  One hundred twenty patients were included, 114 males and 6 females. There was significant difference in mean operative time, as in group A was 55 min. and in group B was 46 min. In mean hospital stay, there is no significant difference, as in group A was 35 hours and in group B was 33 hours. Post-operative analgesia used in 82/120 (68.3%) patients, with 50/60 (83.3%) patients in group A and 32/60 (53.3%) patients in group B. Post-operative complications occurred in 27/120 (22.5%) patients, 15/60 (25%) Patients in group A and 12/60 (20%) patients in group B. Recurrence occurred in 4/120 (3.3%) patients all of them in group A (6.6%), and no recurrence in group B. Conclusion:  From data analysis we confirm that open mesh repair for primary inguinal hernia are associated with less complications and less or sometimes no `recurrence rate, also with less operative time and hospital Stay, as compared with darn.