ABSTRACT: Purpose: Recurrent inguinal hernia presents a significant clinical problem with high recurrence and complication rates. However, a gold standart technique for the repair of recurrent hernia has not been established. The aim of this study was to evaluate the efficiency of two different techniques for repairing recurrent groin hernia.Material and methods: This was a prospective randomized study of 70 consecutive patients with recurrent inguinal hernia. 34 patients were managed by preperitoneal mesh graft, 36 patients were managed by Lichtenstein mesh hernioplasty. Early and late results of both techniques were compared.Results: Despite there was no statistically significant difference for early complications and re-recurrence, the group of preperitoneal repair had shorter average operation time and lower pain scores. There were one recurrence in preperitoneal group and three recurrences in Lichtenstein group with a follow-up period ranging from 12 to 48 months.Conclusion: As a result this study, it was concluded that the preperitoneal mesh repair is a safe and efficient method with its lower pain score and shorter operation time for the repairing of recurrent inguinal hernia.
Erciyes Medical Journal. 01/2009;