Preperitoneal inguinal hernioplasty: can be considered as the gold standard procedure for repair of inguinal hernia.

Inguinal hernia is a challenging surgical problem. There are too many ways of repair of inguinal hernia with different level of potential complications. Some repairs are anatomy-based, some are physiology-based and some are composite or combined repairs. Preperitoneal inguinal hernioplasty is a triumph over all these conventional repairs.

The aim of this research is to judge the outcome of preperitoneal inguinal hernioplasty.

This prospective study was conducted with 330 patients of inguinal hernia in Khulna Medical College Hospital, Bangladesh, from January 2015 to January 2020. Most of the operations were done as day case basis. Convenient purposive sampling was the sampling technique.

Most of the patients (29.7%) in this study were in >60 years of age group. Mean±SD of age was 48±2.1 years. Average operating time was 20-30 minutes. Average blood loss in each surgery was approximately 05-10 ml. Average length of the incision was approximately 3.5-4.5 cm. In this research, in 22.7% (75) cases, the operation was done as a day case procedure. Preperitoneal inguinal hernioplasty was found as the optimal repair with an excellent outcome in terms of surgical site infection rate, average postoperative pain, tenderness, early recovery, patient’s compliance, recurrence rate, mesh-related complications, etc.

Preperitoneal inguinal hernioplasty is a superior repair technique than all other existed way of repairing inguinal hernia with the best outcome, therefore, can be considered as the gold standard procedure for inguinal hernia repair.

Keywords: Preperitoneal hernioplasty, inguinal hernia, outcome, recurrence.