Modified Bassini′s repair: Our experience in a rural hospital setup

Abstract

<b>Background:</b> Inguinal hernia is a leading cause of work loss and disability. Recurrence and other complications can occur after hernia repair. The aim of this study wasto evaluate the effectiveness of Modified Bassini's Herniorraphy in themodern days of surgery. <b>Materials and Methods</b> : This is a retrospective study carried out in the MGM HospitalKamothe from 2005 to 2010. Only unilateral uncomplicated inguinal hernia cases were included.All patients had undergone Modified Bassini's repair. They were followed for 3 years and the complication and recurrence rates were noted. <b>Result:</b> A total of 254 patients were operated by Modified Bassini's repair only and 241 patients were followed completely and included in the study. The average age was 52.12 + 17.22 years. The mean operation time was 25 + 5.9 min. The mean hospital stay was 3 + 1.1 days. Post-operative pain was minimal in all patients, and was controlled by simple analgesia. Return to work was after 4 weeks. Hematoma and seroma formation requiring drainage were observed in one and two patients, respectively. Scrotal swelling was observed in two patients, which subsided within 2 weeks. Five patients developed urinary retention. No hydrocele, ischemic orchitis or recurrence was found during the follow-up. Wound infection was noted in one patient, which was treated by dressing and oral antibiotics. Recurrence was noted in two (0.83%) patients in the follow-up period of 3 + 0.44 years. <b>Conclusion:</b> Tissue repairs are still used in economically poor patients who cannot afford mesh, with similar results of prosthetic material repair that are commonly used in modern hospitals.