Inguinal hernioplasty by darning versus prosthetic mesh

To compare two tension free techniques, darning versus mesh repair in cases of inguinal hernia. Prospective study was done in Tikrit Teaching Hospital. Ninety-six patients with nonobstructive unilateral reducible and primary inguinal hernia 48 patients operate with mesh and other 48 patients operate with darn repair. The two techniques where compared with respect to effectiveness, post-operative complications, and recurrence rate. Over all post operative complications were 27.1%, 31.3% in darn group and mesh group respectively. In darn group, wound infection occurs in 8.3%, scrotal haematoma in 12.5%, urine retention in 4.2%, and nerve pareses 2.1%. In mesh group, wound infection occurs in 22.9%, scrotal haematoma 8.3%, no recurrence observed in both study groups in one year follow up. As a conclusion; Darn repair is equally effective and much less costly treatment for inguinal hernia than mesh repair which had more risk of infection. Key Word: darning repair, mesh repair, inguinal hernia