Comparison of Hernia Sac Ligation Versus Invagination

Comparison of Hernia Sac Ligation Versus Invagination in Lichtenstein Tension Free Mesh Hernioplasty. Does Type of Hernia Have a Role on Outcomes?

Management of indirect hernial sac in inguinal hernia repairs has long been a subject of debate among general surgeons. Although hernial sac high ligation (HL) is a time-honored concept in groin hernia surgery, non-ligation/invagination is gaining more popularity. The aim of this study is to compare the effects of hernia sac ligation and invagination in patients with Lichtenstein mesh hernioplasty (LMH). Also, investigators aimed to investigate the possible association between the hernial defect size and postoperative early pain in both groups.

Inclusion Criteria:

• unilateral uncomplicated indirect hernia
• elective operations
• spinal anesthesia

Exclusion Criteria:

• Bilateral hernias
• recurrent cases
• femoral-scrotal hernias
• those who refused to give consent
• those who were given general anesthesia besides spinal anesthesia
• those who were repaired with a method other than Lichtenstein mesh hernioplasty