OBJECTIVE To compare the open Lichtenstein repair and laparoscopic mesh repair for direct inguinal hernias in terms of immediate post operative pain and length of hospital stay. METHODS This randomized control trial was conducted at Benazir Bhutto Hospital Rawalpindi from January 2009 to June 2010. All patients presenting in the surgical OPD with direct inguinal hernia, ASA I/II, were randoml...

The bilayer patch device (Ethicon, Prolen Hernia System®) for inguinal hernia repair has a connector that acts as a ‚plug‘ in the internal inguinal ring. The position of this ‚plug‘ component may be responsible for higher incidence of chronic pain and intestinal damage. We assumed that changing the position of the connector of a bilayer patch device (PHS®) and placing it medially in Hesselbach ...

PURPOSE The main strategy in inguinal hernia repair is mesh hernioplasty (specially prolene mesh). Pain in anterior femoral, inguinal and scrotal areas, mainly due to sensory nerve injury in the very regions and vas deferen injury are the main complications reported following repairing inguinal hernia. In this study we decided to use semiliquid silicone in order to form it in an in-vivo prosthe...

INTRODUCTION The use of meshes made with reabsorbable materials and structures that allow them to be fixed to the tissue without sutures, is considered as a therapeutic possibility in inguinal hernioplasty, reducing surgical times and supposedly improving pain and post-operative recovery. MATERIAL AND METHODS A prospective randomised study of patients intervened for inguinal hernia between Ma...

Background: Spermatic cord block is a useful technique for providing anesthesia with scrotal pain and it has been described published in the urology literature more than 40 years. inguinal hernioplasty along spinal anaesthesia avoids potential risks of neuraxial general provides long-lasting postoperative analgesia. The aim this study to evaluate effect 0.5% Bupivacaine spermatic hernioplasty.M...