Original article / research Year :2026 Month : May-June Volume : 15 Issue : 3 Page : SO04 - SO07 Full Version Outcomes of Open Preperitoneal Mesh Repair in Inguinal Hernia: A Prospective Observational Study Umesh B Kulkarni, Manjiri M Ranawade, Pravinkumar P Wasadikar, Vikas P Kasbe 1. Assistant Professor, Department of General Surgery, R K Damani Medical College, Chhatrapati Sambhajinagar (Aurangabad), Maharashtra, India. 2. Junior Resident, Department of General Surgery, R K Damani Medical College, Chhatrapati Sambhajinagar (Aurangabad), Maharashtra, India. 3. Professor, Department of General Surgery, R K Damani Medical College, Chhatrapati Sambhajinagar (Aurangabad), Maharashtra, India. 4. Senior Resident, Department of General Surgery, R K Damani Medical College, Chhatrapati Sambhajinagar (Aurangabad), Maharashtra, India.   Correspondence Address : Manjiri M Ranawade, Dr. Hedgewar Rugnalaya Garkheda Parisar, Chhatrapati Sambhajinagar (Aurangabad), Maharashtra, India. E-mail: manjiriranawade@gmail.com   ABSTRACT : 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. Keywords : Contemporary hernia surgery, Cost-effective, Myopectineal orifice of Fruchaud DOI and Others : DOI: 10.7860/IJARS/2026/84228.3100 Date of Submission: Sep 11, 2025 Date of Peer Review: Dec 29, 2025 Date of Acceptance: Mar 12, 2026 Date of Publishing: May 01, 2026 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was Ethics Committee Approval Obtained for this study? Yes • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Dec 26, 2025 • Manual Googling: Mar 05, 2026 • iThenticate Software: Mar 11, 2026 (1%) ETYMOLOGY: Author Origin EMENDATIONS: 6

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