الفهرس 
Surgical anatomy of inguinal regionOnly 14 pages are availabe for public view
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Abstract
Inguinal hernia is protrusion of abdominal cavity contents through the inguinal canal. Inguinal hernia is the commonest of all hernias. Surgery is the definitive treatment for the hernia. If hernias are not operated, often they go for complications and increase the morbidity and mortality.
Gold standard for hernia repair all over the world now remains the use of polypropylene meshes as prosthesis. A Lichtenstein type of operation has now become the method of choice in most developed countries of the world. In developing countries darn repair is more suitable. The darn repair is effective and safe in treatment of inguinal hernia.
The present study aimed to evaluate darn repair and Lichtenstein mesh repair in treatment of primary inguinal hernia. This study compared early outcome post-operative complications of two procedures as haematoma, seroma, urinary retention, genital edema, surgical site infection, recurrence and chronic pain.
After approval of Ethical committee of Faculty of Medicine Menoufia university. An informed consent was obtained from all patients included in the present study, patients with bilateral inguinal hernia or recurrent inguinal hernia were excluded from the present study, this study was conducted as a prospective study including a total number of sixty patients, with well-established diagnosis of primary uncomplicated inguinal hernia(direct and/or indirect) presented to general surgery department in Menoufia university and Shebin El-Kom teaching hospitals. The patients was divided randomly into two groups ( darn repair group and Lichtenstein mesh repair group) . Darn repair group was consisted of thirty patients was treated with darn repair, Lichtenstein mesh repair group was consisted of thirty patients was treated with mesh repair.
Data collection throughout history questionnaire and clinical examination of all patients envolved in this study. Follow up of patients was done first day, two weeks, one month, three months, six month and one year post-operatively. All data data were coded, entered and analyzed using Microsoft Excel software. Statistical Package for Social Science 16.0 (SPSS 16) for Windows was used for data analysis.
Most of patients included in this study were males. Mean age of patients were similar in both groups. Risk factors such as (smoker, DM, BPH, COPD and chronic constipation) were insignificant between two groups. Right inguinal hernia were more than left inguinal hernia in both groups. Duration of hernial presentation was similar in both groups.
Patients anesthetized by spinal anesthesia were more than patients anesthetized by genral anesthesia. The results showed that operative time in darn repair was more than operative time in Lichtenstein mesh repair with highly significant difference between two groups.
Post-operative complications such as haematoma, seroma, genital edema, surgical site infection and recurrence were insignificant differences between two groups. Recurrence occurred in two patients in darn repair, one of them was heavy smoker and the other was COPD, both patients neglected to control those medical conditions while recurrence occurred in one patient in Lichtenstein mesh repair group.