Comparative study: repair of congenital inguinal hernia with and without opening the inguinal canal

Background: Inguinal herniotomy is the most common surgery performed by paediatric surgeons.Methods: 100 Male and female cases with congenital inguinal hernia aging from one month till the age of two years. randomly allocated into two groups for undergoing two types of hernia repair techniques, with and without opening the external oblique muscle fascia. Surgical complications such as fever, scrotal oedema and hematoma, and wound infections classified as early complication. The rates of mentioned early complications and operative time were compared in the two interventional groups. In this study, 100 cases were selected and allocated to the two interventional groups.Results: The prevalence of early complications in two studied groups were not different significantly in two interventional groups. Operation time was significantly shorter in inguinal repair techniques without opening the external oblique muscle fascia than the other studied techniqueConclusions: The findings of our study indicated that though early complications of the two repair methods were similar, but the time of procedure was shorter in herniotomy without opening the external oblique muscle both methods are safe and feasible, choosing one of them depend on surgeon prefer.

Prophylaxis of pain syndrome associated with inguinal hernia alloplasty

Prolonged pain syndrome after hernia alloplasty may be due to the capture of an inguinal nerve within a suture loop. We propose a method to fix the upper edge of the mesh to the aponeurosis of abdominal external oblique muscle from inside. To this effect, a hook is used to roll up the dissected aponeurosis and thereby to form a fold from the mobilized portion of aponeurosis. Fixation of the upper mesh edge to the inner aponeurosis surface allows to avoid injury to the vessels, include n. ilioinguinalis in the suture, achieve stronger connection of the sieve graft with the aponeurotic tissue, and reduce the amount of suture material remaining in the tissues. No prolonged pain syndrome was documented in 170 patients treated by the proposed method in the period from 2010 to 2014 .