Abstract
Background: To analyze the complications of abdominal wall hernia repair using mesh.
 Materials and method: this is a single cohort study conducted over 4 years. Patients with inguinal hernia received regional anesthesia while others have been given general anesthesia. Polypropylene mesh was used for all of them. They received preoperative antibiotics (1 gram of ceftriaxone ). They were followed up for three years.
 Results: During 4 years, 270 patients were enrolled in the study. The mean age of patients was 48 years. One hundred fifty patients (55.5%) were male and 120 of them (44.5%) were female. One hundred forty-two patients (52.6%) had an inguinal hernia. Ninety patients (33.3%) had umbilical hernias, 20 patients (7.4%) had epigastric hernias and 8 patients (3%) had incisional hernias. Five cases (1.8%) developed recurrence. Two patients (0.7%) had an infection. 
 Conclusion: abdominal wall hernia repair using mesh is safe with very low complication rates.
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