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Year :2026
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Month :
May-June
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Volume :
15
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Issue :
3
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Page :
SO04 - SO07
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Outcomes of Open Preperitoneal Mesh Repair in Inguinal Hernia: A Prospective Observational Study
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Correspondence Address :
Umesh B Kulkarni, Manjiri M Ranawade, Pravinkumar P Wasadikar, Vikas P Kasbe,
Manjiri M Ranawade,
Dr. Hedgewar Rugnalaya Garkheda Parisar, Chhatrapati Sambhajinagar
(Aurangabad), Maharashtra, India.
E-mail: manjiriranawade@gmail.com
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Introduction: Introduction: Contemporary hernia surgery focuses on reinforcing the Myopectineal Orifice of Fruchaud (MPO)-the anatomical sites through which all groin hernias emerge. While laparoscopic techniques are widely adopted, the open preperitoneal approach offers a direct and cost-effective alternative, especially in resource-limited settings.
Aim: To evaluate the immediate clinical outcomes of open preperitoneal mesh repair.
Materials and Methods: The present prospective observational study was conducted involving 67 consecutive patients with inguinal hernia who underwent open preperitoneal mesh repair between October 2023 and July 2025 in the Department of Surgery at a tertiary care teaching hospital in Central Maharashtra (Chhatrapati Sambhajinagar), India. Demographic details were noted. Outcomes assessed included operative time, postoperative pain, complications, hospital stay, and recurrence at a mean follow-up of 11 months. Patients were discharged after 48-72 hours and followed up on postoperative day 10, day 15, and subsequently at three-monthly intervals.
Results: The study population comprised 66 males and one female, with a mean age of 48.6 (range 21-70) years. The average operative time was 45-60 minutes. Hospital stay ranged from 48-72 hours. All procedures were completed without conversion to Lichtenstein repair. Minor postoperative complications were mild pain 42 (62.6%), seroma 14 (20.8%) and paralytic ileus 2 (2.9%). No major complications or recurrences were noted during mean follow-up of 11 (range 3-21) months.
Conclusion: Open preperitoneal mesh repair is a simple technique for inguinal hernia repair, associated with low postoperative morbidity and no recurrence at short-term follow-up.
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