Prolene Darn: safe and effective method for primary inguinal hernia repair.
OBJECTIVE
The purpose of the study was to evaluate darn repair in terms of morbidity and recurrence rate.


METHODS
Descriptive study.


METHODS
Combined Military Hospital, Muzaffarabad from February 1997 to April 2001.


METHODS
Four hundred and sixty-five consecutive patients above the age of 20 years, with primary inguinal hernia underwent darn repair using polypropylene suture. Two hundred and forty-two patients were operated under spinal anaesthesia, 100 under local anaesthesia while 123 patients had general anaesthesia. Patients were examined on 7th and 12th postoperative day for early complications. Subsequently, they were examined at third month, six-month and then yearly for three years.


RESULTS
Mean age in our study was 52 years (range 20-75). Indirect hernia was present in 305 (65.5%) patients while 160(34.5%) patients had direct hernia. There were 11 (2.4%) postoperative wound infections. Three (0.6%) patients had hematoma formation. Twenty-one (4.5%) patients went into postoperative urinary retention. Three (0.6%) patients developed recurrence; all these patients were among those who had postoperative wound infection. There was no seroma formation. None of the patients developed any testicular complication or postoperative hydrocele. There was no case of dysejaculation or chronic residual neuralgia.


CONCLUSIONS
It can be concluded from our results that darn repair using non-absorbable suture is safe procedure. It is easily performed and has a very low recurrence rate which is comparable to any other procedure for primary inguinal hernia.
Farooq
Omer
O
Department of Surgery, Combined Military Hospital, Bahawalnagar Cantt. omer1125@yahoo.com
Batool
Zahida
Z
Bashir-ur-Rehman
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000295:instrumentation*; D012189:Retrospective Studies; D012449:Safety; D013526:Surgical Mesh / Q000592:standards*; D016896:Treatment Outcome
D011126:Polypropylenes