The mesh plug technique for adult inguinal herniation

Area of Science:

• Surgical Innovation
• Hernia Repair Techniques
• Minimally Invasive Surgery

Background:

• Inguinal hernias are common surgical conditions requiring effective repair methods.
• Conventional sutured repairs have established protocols but can involve longer recovery times.
• The mesh plug method emerged as a potential alternative for inguinal hernia treatment.

Purpose of the Study:

• To compare the mesh plug method with conventional sutured repair for adult inguinal hernias.
• To evaluate operative duration, postoperative pain, and recurrence rates.
• To assess the overall utility of the mesh plug method in clinical practice.

Main Methods:

• A comparative study of 112 adult patients undergoing inguinal hernia repair.
• Patients were divided into mesh plug method and conventional sutured repair groups (Bassini, ileopubic tract, McVay).
• Outcomes measured included operation duration, postoperative inflammatory markers (WBC, CRP), analgesic frequency, and recurrence rates.

Main Results:

• The mesh plug method demonstrated a significantly shorter operative duration.
• Postoperative white blood cell count and C-reactive protein levels showed no significant differences between groups.
• Analgesic frequency was significantly lower in the mesh plug group (0.4 vs. 0.8 times).
• The mesh plug method had a recurrence rate of 3.57%, with all recurrences occurring within one year.

Conclusions:

• The mesh plug method is a useful operative procedure for adult inguinal hernias.
• It offers advantages such as shorter operation time and reduced postoperative pain.
• Recurrence rates are comparable to conventional sutured repair methods.