Tension-free Inguinal Hernia Repair Research Articles

Feasibility of tension-free repair of inguinal hernia in senile patients under ultrasound-guided local nerve block.

The clinical characteristics of open hernia repair under local nerve block guided by ultrasound and epidural anesthesia under daytime surgery mode were compared and analyzed, and the safety, rationality and effectiveness of tension-free repair of inguinal hernia in elderly patients under local nerve block guided by ultrasound were discussed. The clinical data of 200 patients who underwent inguinal hernia day surgery in Liaocheng People's Hospital Affiliated to Shandong First Medical University from January 2022 to October 2022 were retrospectively analyzed, including 150 patients who underwent local anesthesia block surgery and 50 patients who underwent epidural surgery. The visual analog score of the ultrasound local anesthesia group was lower than that of the epidural surgery group at 4h after operation. The time of getting out of bed and postoperative exhaust were shorter than those of epidural operation group. The recovery rate of unrestricted activity 2weeks after surgery was higher than that in epidural surgery group (P < 0.05). The incidence of postoperative acute urinary retention between the two groups was lower in local ultrasound anesthesia group, and the difference was statistically significant (P < 0.05). The median follow-up time was 4(1-6) months, and the follow-up rate was 100%. Postoperative complications were seroma, wound infection, chronic pain and recurrence, and there was no statistical significance between the two groups (P > 0.05). No serious complications occurred in both groups. Compared with open epidural surgery, ultrasound-guided local nerve block tension-free day surgery in the elderly has the advantages of less pain, faster recovery, and is safe and feasible.

The comparative study of skin staples and polypropylene sutures for securing the mesh in Lichtenstein's tension-free inguinal hernia repair in HIV and hepatitis (B and C)-positive patients: a randomized controlled trial.

The mesh fixation in the Lichtenstein's hernioplasty was traditionally performed with polypropylene sutures. A modification of this technique uses skin staples for securing the mesh. Using polypropylene sutures may increase the needle prick injuries (NPIs) in HIV and hepatitis-positive patients. This is the first study in India to compare the efficacy of anchoring the mesh with skin staplers and polypropylene sutures in hepatitis and HIV-positive patients. Fifty-two seropositive patients undergoing sixty repairs were randomized into two groups. In the control group polypropylene mesh was secured with polypropylene sutures and the skin was closed with ethilon. In the study group polypropylene mesh was secured with skin staples and the skin was closed with staples from the same stapler. Duration of surgery, postoperative complications, NPIs, recurrences and costs were compared. The operation was significantly shorter when staples were used (median 46 vs. 57 min, P<0.00001). There was no significant difference in the incidence of postoperative complications. The NPIs was statistically significant in the suture group as compared to the stapler group (P<0.05). Using skin staples to secure the mesh in Lichtenstein inguinal hernioplasty significantly reduced the duration of surgery. It was as effective as conventional mesh fixation with polypropylene with added advantages to reduce the operating time, duration of exposure to infected blood, and the NPIs significantly in HIV, hepatitis B virus and hepatitis C virus-positive patients.

Quality of life assessment of patients after removal of late-onset infected mesh following open tension-free inguinal hernioplasty: 3-year follow-up.

Open tension-free inguinal hernioplasty is one of the common surgical methods used today to treat inguinal hernias due to its simplicity and low recurrence rate. With the widespread use of tension-free inguinal hernia repair, the number of patients with mesh infections is gradually increasing. However, there is a lack of studies assessing the quality of life of patients after the removal of late-onset infected meshes in open inguinal hernias. The aim of this study was to analyse and assess the quality of life, pain severity and anxiety of patients after late-onset infection mesh removal following open inguinal hernioplasty. Data from 105 patients admitted to our hospital from January 2014 to January 2019 who developed delayed mesh infection after open tension-free inguinal hernia repair were retrospectively analysed. 507 patients without mesh infection after open inguinal hernioplasty were included as cross-sectional controls. The baseline data of the two groups were matched for propensity score matching (PSM) with a caliper value of 0.05 and a matching ratio of 1:1. Patients are followed up by telephone or outpatient consultations for 3years to assess quality of life, pain and anxiety after removal of the infected mesh. The 105 patients who developed late-onset mesh infection after inguinal hernia repair had a mean age of 64.07 ± 12.90years and a mean body mass index (BMI) of 24.64 ± 2.67 (kg/m2). The mean follow-up time was 58months and 10.5% (10/105) of the patients were lost to follow-up. At the 3-year follow-up there was one case of hernia recurrence and five cases of mesh reinfection. The patients' quality of life scores, pain scores and anxiety scores improved after surgery compared to the preoperative scores (all p < 0.01). Patients with late-onset mesh infection after inguinal hernioplasty showed an improvement in quality of life, pain and anxiety compared to preoperative after removal of the infected mesh. Mesh-plug have a higher risk of mesh infection due to their poor histocompatibility and tendency to crumple and shift.

Efficacy and safety of ilioinguinal neurectomy in open tension-free inguinal hernia repair: A meta-analysis of randomized controlled trials

BackgroundThere is still controversy surrounding routine ilioinguinal neurectomy in open tension-free inguinal hernia repair. MethodPubMed, Cochrane Library and EMBASE databases were searched for randomized controlled trials of ilioinguinal neurectomy in open tension-free inguinal hernia repair. Revman 5.3 software was used for meta-analysis. ResultMeta-analysis revealed that the incidence of severe pain on the first postoperative day was lower in the ilioinguinal neurectomy group (ING) than in the ilioinguinal nerve preservation group (INPG) [P < 0.0001]. The incidence of no pain in the first month postoperatively [P = 0.0004], the incidence of no pain in the sixth months postoperatively [P < 0.00001], and the numbness incidence in the first month postoperatively [P = 0.001] in the ING was higher than that in the INPG. There was no significant difference in the incidence of severe pain in the first month postoperatively [P = 0.20], the numbness incidence in the sixth postoperative month [P = 0.05], the hypoesthesia incidence in the first [P = 0.15] and sixth [P = 0.85] postoperative months between the two groups. ConclusionIlioinguinal neurectomy in open tension-free inguinal hernia repair can better prevent postoperative pain.

Return to Work in Patients With Unilateral Inguinal Hernia Surgery: A Comparative Study Between Laparoscopic Transabdominal Preperitoneal Approach and Lichtenstein Tension-Free Mesh Repair.

Objective The objective of this prospective cohort study was to compare the time to return to work between patients who underwent laparoscopic transabdominal preperitoneal (TAPP) hernia repair and those who underwent Lichtenstein tension-free hernia repair with mesh for unilateral inguinal hernia. Methodology Patients were registered for unilateral inguinal hernia review at Aga Khan University Hospital, Karachi, Pakistan, from May 2016 to April 2017 and followed till April 2020. All patients aged 16-65 planned for unilateral transabdominal preperitoneal hernia repair or Lichtenstein tension-free hernia mesh repair were included. Patients with bilateral inguinal hernia repair, limited activity, or above retirement age were excluded. A non-probability consecutive sampling technique was implemented, and patients were divided into two cohort groups: Group A underwent laparoscopic transabdominal preperitoneal hernia repair, while Group B underwent Lichtenstein tension-free mesh repair. Patients were followed up at one week to inquire about the resumption of activities and then at one and three years for recurrence. Results Sixty-four patients met the inclusion criteria; three patients opted out of research, and 61 patients agreed to participate; one patient was excluded due to the conversion of the procedure. The remaining 30 in Group A and 30 in Group B were followed for the study period. The mean time to return to work in Group A was 5.33 ± 4.46 days; in Group B, it was 6.83 ± 4.58 days, with a p-value of 0.657.One recurrence was observed at three years in Group A. Conclusion Although the time to return to work at our hospital was slightly shorter in laparoscopic hernia repair than in the open technique, the results were not statistically significant. In addition, there was no significant difference in hernia recurrence at the one-year follow-up between laparoscopic transabdominal preperitoneal hernia repair and Lichtenstein tension-free hernia mesh repair for unilateral inguinal hernia.

Tension-Free Repair of Inguinal Hernia with “Undissociate Spermatic Cord”- Case Series

Background: In recent years, with the deepening of the anatomical cognition of the inguinal region and the renewal of the hernia repair concept, inguinal hernia repair has become increasingly mature surgical approach. However, no matter how the hernia repair modes change, the treatment and repair of the hernia ring has always been the focus, so that the treatment of the hernia sac has been neglected. Materials and Methods: From March 2014 to May 2019, there were 132 patients underwent inguinal hernia repair with “Undissociate Spermatic cord” theory (Undissected Spermatic cord and hernia sac, hernia ring and sac exclusion) in the First Affiliated Hospital of Harbin Medical University and the First Hospital of Harbin. Results: All the operations were completed smoothly. The patients included 126 males and 6 females. There were 74 cases underwent open surgery and 58 cases underwent laparoscopic surgery (TAPP and TEP). In the open group, the mean operation time was 33.4min, and the mean blood loss was 7.1ml. The mean hospitalization time was 4.6d. In the laparoscopic group, the mean operation time was 74.4min, and the mean blood loss was 7.5ml. The mean hospitalization time was 4.7d. There were no complications occurred in our groups. All the patients were followed up for 18~63 months (mean of 41.5 months) without recurrence. Conclusion: Following the “Undissociate Spermatic cord” theory, the inguinal hernia repair could be convenient operation, low complication rate and recurrence rate. The function of spermatic cord was also retained. “Undissociate Spermatic cord” theory is a safe and feasible novel idea for inguinal hernia repair.

P-028 POSTOPERATIVE ASSESSMENT OF PAIN AFTER LICHTENSTEIN TENSION-FREE MESH INGUINAL HERNIA REPAIR

Abstract Background-Aim Effective postoperative pain management is vital for the well being of the patients after inguinal hernia repair. The aim of this study was to assess the analgesic efficacy and safety of parecoxib sodium versus diclofenac sodium following inguinal hernia repair. Material &amp; Methods Patients that underwent from 1/1/2019 to 31/12/2020 an Lichtenstein tension free inguinal hernia repair at General Hospital of Amfissa were included in this study, They were randomly assigned to receive postoperatively parecoxib 40mg twice daily iv (group A), or diclofenac 75mg twice daily im (Group B). Tramadol 50mg iv was used as “rescue” treatment. Pain Rating System (PRS) was utilized for pain assessment. Results 214 patients (162 males, 52 females) with a mean age of 72 (26–93) years were included in this study. Patients receiving parecoxib sodium experienced significantly lower PRS scores at 6 hours postoperatively (2.2 vs 3.1) and 24hrs postoperatively (1.2 vs 2.0). Fifty-nine patients (27.8%) needed a “rescue” analgesic treatment with the majority of them (43 patients) belonging to the Group B. 96.7% of total patients left the hospital on 1st postoperative day without needing any additional analgesic treatment. Conclusions Administration of parecoxib sodium 40mg twice daily is more effective than diclofenac for pain management after inguinal hernia repair.

What is the outcome of late-onset infected mesh removal after open tension-free inguinal hernioplasty: 3-year follow-up.

Reports of mesh infections following open tension-free inguinal hernioplasty are gradually increasing. Recent research has focused on identifying and managing mesh infections. However, studies examining the long-term outcomes and quality of life following mesh removal for late-onset infections are few. This study aimed to analyze the short and long-term outcomes after maximal removal of the implanted mesh in patients with late-onset mesh infection after open tension-free inguinal hernioplasty. Data of 105 patients who developed late-onset mesh infection after open tension-free inguinal hernioplasty and were admitted to our hospital from January 2014 to January 2019 were retrospectively analyzed. Patients were followed up by telephone or outpatient consultation for 3years, focusing on hernia recurrence and mesh infection recurrence. Quality of life was assessed preoperatively and postoperatively using our developed scale; postoperative inguinal area pain was assessed using the visual analog score, and postoperative anxiety was assessed using the anxiety self-assessment scale. Of the 105 patients who experienced late-onset mesh infection following open inguinal hernioplasty, 100 underwent mesh plug repair. The mean follow-up time was 58months, and 10.5% (95/105) of the patients were lost to follow-up. Recurrence of infection was observed in 28.6% of patients (2/7) who underwent partial mesh removal and in 3.4% of patients (3/88) who underwent complete mesh removal. One inguinal hernia recurred 12months after mesh removal (1.0% recurrence rate). In the third year following surgery as compared to the preoperative period, there were significant improvements in quality of life. Hernia plugs may not be a good choice in tension-free inguinal hernia repair in view of the risk of late infections and fistulas. Remove all mesh at the time of the first operation for mesh infection. Hernia recurrence after late-onset infected mesh removal following open inguinal tension-free hernioplasty is rare. The post-operative quality of life, pain, and anxiety are gradually steadily improving.

Clinical Analysis of 5 Cases of Delayed Patch Infection with Sinus Formation after Tension-free Inguinal Hernia Repair

Clinical Analysis of 5 Cases of Delayed Patch Infection with Sinus Formation after Tension-free Inguinal Hernia Repair

Tension-Free Inguinal Hernia Repair in Local Anaesthesia versus Spinal Anaesthesia

Abstract Background: Inguinal hernia is a common presentation in surgical clinics. In the past, the hernia surgeries were done under general and spinal anesthesia. Recently local anesthesia is being increasingly used due to the increased efficacy of local anesthetics and economic reasons. We in the current study tried to evaluate the effectiveness of Lichtenstein repair under local anesthesia and spinal anesthesia and the overall outcomes of both methods. Methods: This cross-sectional study was conducted in the Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. Successive cases of uncomplicated inguinal hernia were selected for the study. A total of n=60 cases randomly allotted in two groups The LA group and SA group were taken and studied. Post-operatively VAS scale was used to evaluate pain, other postoperative complications such as testicular swelling and pain, urinary retention, nausea/vomiting, postural hypotension, and wound infections were recorded. Results : The age of the patient varied from 20 to 80 years with the highest prevalence noted in the age group of 41 to 60 years. The Mean age of presentation is 51.3 years. The anatomical location and type of hernia are given in table 1. 60.9% of inguinal hernia in this study was an indirect type, 30.4% was direct, 6.5% was pantaloons type and 2.2% was Ogilvie's hernia. Out of 74 patients, 62.1% had a right-sided inguinal hernia compared to the left side which accounted for 37.8%. Complication records showed N=9(23.7%) of the SA group and n=8(22.2%) LA group developed scrotal edema and in total n=17(23%) developed scrotal edema. N=7(18.4%) patients in the SA group and n=7(19.4%) in the LA group developed seroma and in total patients, n=14(18.9%) developed seroma. Conclusion: Lichtenstein tension-free hernioplasty done under local anesthesia is with less immediate postoperative complications, also the best suitable for patients with medical comorbidities and those who are on antiplatelet therapy where spinal anesthesia is contraindicated.

Morphological testicular changes following the experimental inguinal hernia repair modeling

Purpose of the study. To evaluate morphological changes in the testes in experimental animals after tension-free inguinal hernia repair modeling.Materials and methods. The study included male rabbits, aged 120 days, weighing 3.8 ± 0.9 kg. All rabbits were divided into two groups depending on the type of operation: in the first group (n = 10) of animals, we made a model of tension-free inguinal hernia repair and used a polypropylene mesh; in the second group (n = 10) of animals, we left the structures of the inguinal canal intact. Morphological assessment of spermatogenesis was performed after 40 days. All morphometric measurements were carried out on strictly cross-sections of the convoluted seminal tubules.Results. In rabbits of group 1, the volume of the testicle was significantly three times less than in animals of group 2 (p &lt; 0.05). In the animals of the first group, a significant deterioration in spermatogenesis was observed (p &lt; 0.05). Histological examination of sections of the testes of these animals showed that hypoplasia of the spermatogenic epithelium was present in the convoluted seminal tubules, in 1/8 of the tubules there was subtotal aplasia of the spermatogenic epithelium, Sertoli-Cell-Only Syndrome was detected only in 2 %. Atrophy of the convoluted seminal tubules was not recorded at this period of observation. In the animals of the control group, almost 90 % of cases of spermatogenesis disorders were not detected.Conclusions. This experimental study on rabbits showed that after using a polypropylene mesh for inguinal canal plastic, inhibition of germ cell maturation occurs after 1.5 months. Therefore, in men of reproductive age, it is necessary to use polypropylene mesh implants with caution in terms of performing inguinal hernia repair.

A comparative study of postoperative chronic pain after tension free inguinal hernia repair using absorbable versus non-absorbable sutures for mesh fixation

Background: Inguinal hernias are very commonly encountered by surgeons throughout the world. Chronic groin pain may be caused by nerve injury either during dissection or retraction, or nerve entrapment due to post-operative fibrosis, or mesh related fibrosis, or lastly sutures used to fix the mesh. The mesh can be secured by non-absorbable sutures or absorbable sutures. Material and methods: This is a prospective, descriptive, single centre and randomized study was conducted in the Department of General Surgery, N.C Medical College and Hospital over a period of 1 year. All patients of 21-80 years old, who were admitted for elective inguinal hernia repair, were included for the study. Patients with bilateral, recurrent, irreducible or incarcerated hernia and patients with co morbid conditions that might interfere with pain assessment (e.g. impaired cognitive function, limited mobility, daily use of pain medicine); and patients who had undergone surgery in the groin area were excluded from the study. Results: Out of 180 patients 90 were having right inguinal hernia, 56 patients with left inguinal hernia and 34 patients were having bilateral inguinal hernia. we analyzed post- operative pain using VAS score on alternate basis till 10th post-operative day. In Group A, mesh fixation was done by non-absorbable suture material polypropylene (n=90) and Group B, mesh fixation was done by monofilament absorbable suture material poliglecaprone (n=90). On post-operative day 1 the mean VAS score in group A was 6.12±1.03, while that in group B was 5.01±0.93, on day 10, the mean VAS score in group A was 2.41±0.56, while that in group B was 1.62±0.46, with a p value of 0.039 which is statistically significant. Overall, Group B experienced less pain compared to group A. Mean VAS score at 1st month in group A was 1.93±0.62 and in group B was 1.52±0.34 and at 2nd month it was 1.31±0.54 in group A and 1.03±0.26 in group B. Conclusion: Patients with absorbable suture for mesh fixation has less groin pain as compared to nonabsorbable suture in hernia repair during 6 months follow up period.

Effect of Rapid Rehabilitation Surgical Nursing on Postoperative Recovery and Nursing Satisfaction of Patients with Tension-free Inguinal Hernia Repair

Effect of Rapid Rehabilitation Surgical Nursing on Postoperative Recovery and Nursing Satisfaction of Patients with Tension-free Inguinal Hernia Repair

Total extra peritoneal inguinal hernia repair: a single-surgeon preliminary findings report.

Inguinal hernia repair is one of the most frequent operations in general surgery. Various techniques have been used to repair inguinal hernias since the first reconstructive technique described by Bassini in 1887. In 1989 Lichtenstein reported a new technique: tension free inguinal hernia repair. Laparoscopic inguinal hernia repair was introduced in the early 1990s, and soon also became popular. Literature has shown the benefits of laparoscopy (in comparison with open repair) to be mostly related to the more minimally invasive nature of the surgery, having lower wound infection rates, faster recovery, and less postoperative pain. To evaluate our totally extraperitoneal (TEP) inguinal hernia repair initial results and compare them to literature data. In a prospective review and analysis, we examined 61 cases of hernia repair via laparoscopy (specifically TEP), performed by a single surgeon, between April 2019 and December 2019 at the Kaspela University Hospital in Plovdiv. The centre's Institutional Review Board approved the study with no specific consents required due to the retrospective, minimal risk nature of the study. The routine informed consent required by the National Insurance Fund has been considered sufficient for the study objectives.The surgical outcome measures included operating time (hours/minutes), conversion, peritoneal injury, surgical emphysema; and the clinical outcome measures included postoperative seroma, post-operative infection, and post-operative chronic groin pain. Inguinal pain on discharge was characterized as mild by 56 (96.55%) patients and moderate by 2 (3.44%), there were no patients describing the pain as severe. The most frequently reported postoperative complications were annoyance and discomfort (10.34%), swelling (6.9%), seroma (3.44), hematoma (1.72%), paresthesia 1.72% (1); however, only those with seromas required special treatment. Limitations of the present study include the relatively small number of patients, all cases were operated on by a single surgeon and short postoperative follow-up period, but we are sharing our initial six months results. These results demonstrate that laparoscopic TEP inguinal hernia repair without mesh fixation is a reliable technique, which can reduce postoperative morbidity when applied by experienced surgeons.

Irving Lichtenstein—Pioneer Hernia Surgeon and Civil Rights Champion

Lichtenstein’s tension-free inguinal hernia repair is one of the few procedures which had stood the test of time in this rapidly evolving world. Dr. Lichtenstein and his colleagues from the Lichtenstein Hernia Institute have come up with this most popular technique in 1984 which has become the gold standard of inguinal hernia surgery. He has also popularized the plug technique of mesh repair for femoral and recurrent inguinal hernias. Apart for his professional achievement, he was proud of his civil rights work. He was the chief fund raiser and donor for the American Civil Liberties Union. Dr. Lichtenstein’s story is a best example for the young surgeons to bring their innovative ideas to practice against all odds.

COMPARATIVE CLINICAL STUDY OF NON-MESH VERSUS MESH REPAIR IN PRIMARY INGUINAL HERNIA

Background: The inguinal regions are one of the natural weak areas in the abdominal wall and are the most common site of herniation. Inguinal hernia repair is one of the most frequently performed operations. Amis: The aim of this study is to compare open mesh and non-mesh suture repair of primary inguinal hernias with respect to clinical outcome which include postoperative pain, complications, time of return to work and recurrence. Matierial and methods: This prospective study of 102 cases of primary inguinal hernia repair was carried out at M.G.M. Medical College &amp; L.S.K. Hospital, Kishanganj with the aim of comparing open mesh and non-mesh suture repair with respect to clinical outcome which included postoperative pain, complications time of return to work and recurrence. Result: In our study there were no specific criteria for allocation of the method of repair and of 102 patients 52 patients randomly underwent non-mesh repair and 50 patients underwent mesh repair. Conclusion: The use of prosthetic mesh allows tension-free repair of inguinal hernia and in theory better results. Our study proves the superiority of this method over non-mesh repair in the long term with regard to hernia recurrence; in addition, there were less complications and postoperative pain.

Comparison of self-fixating mesh with conventional polypropylene mesh in lichtenstein’s tension free inguinal hernia repair

Background: Post-operative pain is a disabling complication of inguinal hernia repair. Sutures that are used to anchor the mesh are blamed for tissue tension and nerve entrapment leading to postoperative pain. Self-fixating mesh, a bicomponent mesh with resorbable polylactic acid gripping system can produce a tension-free repair without sutures, reducing the potential of post-operative pain. The objectives of the study were to compare postoperative pain, the operating time and the efficacy in terms of recurrence among patients undergoing Lichtenstein’s inguinal hernia repair with self-fixating mesh and conventional polypropylene mesh. Methods: A prospective observational study was conducted among 120 patients. Half of them underwent Lichtenstein’s inguinal hernia repair with self-fixating mesh which did not require sutures and the other half with conventional polypropylene mesh which were anchored with polypropylene sutures. Time taken to complete surgery was noted. Postoperative pain was charted using a visual analogue scale at 15 days, 3 months, 6 months and at 1 year during the follow up.Results: Median postoperative pain score and operating time was significantly lower in patients who underwent repair with self-fixating mesh. None of the patients had recurrence at the end of 1 year follow up period. Conclusions: Self-fixating mesh can reduce the postoperative pain and the operating time in patients undergoing Lichtenstein’s inguinal hernia repair when compared with a conventional polypropylene mesh. The self-fixating mesh is as efficacious as conventional polypropylene mesh in preventing recurrences.

Clinical Comparation of Postoperative Complications after Lichtenstein versus Bassini Inguinal Hernia Repair.

Background: In this study we investigated the differences between tension free versus not tension free inguinal hernia repair in occurrence of various postoperative complications.&#x0D; Methods: The study included 65 male patients with direct or indirect inguinal hernia operated at the Department of Abdominal and General Surgery, between March 2012 and March 2014. The patients were divided into two groups. Evaluated were postoperative complications..&#x0D; Results: No statistically significant differences in incidences of postoperative complications between two groups (p&lt;0.05).&#x0D; Conclusion: Obtained results show that tension-free mesh repair is equivalent to the not tension free hernia repair method with regards of postoperative complications, severity of postoperative pain and ambulance.

Ilioinguinal Neurectomy and Chronic Post-Operative Pain After Inguinal Hernia Repair

Ilioinguinal Neurectomy and Chronic Post-Operative Pain After Inguinal Hernia Repair

Use of Mosquito Net Mesh Versus Polypropylene Mesh in Tension-Free Repair of Inguinal Hernia: a 1-Year Randomized Controlled Trial

Commercially available polypropylene mesh is preferred in the developed countries during inguinal hernioplasty. Whereas, the mosquito net mesh is a safe and effective alternative in the developing countries such as India. To evaluate the safety and efficacy of mosquito net mesh as prosthesis in comparison with polypropylene mesh in inguinal hernia repair by Lichtenstein tension-free technique. A total of 60 patients presented with uncomplicated inguinal hernia were randomized into two groups: group A (mosquito net mesh) and group B (polypropylene mesh). Postoperatively, the Southampton scoring system was employed to assess the level of infection at the surgical site on days 3, 5, 7, and 10. The data obtained were analyzed using SPSS 20.0. The data were compared using Fisher’s exact test, chi-square test, and independent sample t test. P ≤ 0.05 was considered statistically significant. All the patients were men and majority were in the age-group of 51–60 years. Right-sided inguinal hernia was reported in most (30) of the patients. The rate of surgical site infection on postoperative day 3 (P = 1.000), 5 (P = 0.704), 7 (P = 0.612), and 10 (P = 1.000) were comparable in both groups A and B. The baseline characteristics, clinical presentations, and assessment of surgical site infection in both groups were comparable. Therefore, mosquito net mesh, as prosthesis for inguinal hernia repair, is equally safe and efficacious as polypropylene mesh.