Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery

Background: Inguinal hernia is repair is one of the cornerstones of a general surgery practice and is one of the most commonly performed procedures. Inguinal hernia repair throughout literature was mostly done with mesh attributing to the relative ease of the procedure. Complication of mesh insertion started to arise including seroma formation, infection and chronic pain. Therefore non mesh technique is being performed. The Desarda{u2018}s technique for inguinal hernia repair is a new tissue based method. Application of the external oblique muscle apponeurosis in the form of an undetached strip has been established as a concept in tissue-based hernia repair.[Subwongcharoen S, et al 2002].Objective: Evaluating the outcome of performing non mesh inguinal hernia repair as a new technique regarding rate of recurrence, infection and seroma Methods: Case series study of thirty two patients presented with primary inguinal hernia to Cairo university Hospitals who was eligible to open hernia repair. Results: Thirty two patients with inguinal hernia were included in the study. After preformed the non mesh technique for henia repair, 6.3% of the included cases experienced mild pain during hospital stays postoperatively, while 3.1% had surgical site infection and 6.3% developed surgical site seroma. Recurrence was never reported among the included patients during the period of follow up

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