Surgical repair of inguinal hernia: Tension free technique with prostheticmaterials (Gore-Tex Mycro Mesh expanded polytetrafluoroethylene)

The purpose of this study is to report the results of a tension-free repair technique using expanded polytetrafluoroethylene Gore-Tex Mycro Mesh in pa tients with inguinal hernias. Over 3 years, 104 patients have undergone the aforementioned procedure for 118 hernias (85 indirect and 33 direct) in ou r clinic. Ninety-three of the patients were operated for the first time, wh ereas the remainder of them were operated for hernia recurrence. Fourteen p atients had bilateral hernias, and six had incarcerated ones. The median pa tient's age was 53 years. Eighty-three patients were operated under general and 21 under local or epidural anesthesia. One hundred and two patients we re offered a one-day surgery procedure, but three were readmitted with woun d infection. Two of these patients were conservatively cured, and the third was submitted to mesh removal. Two patients developed hematoma in the scro tum and were discharged a week later after the absorption of the hematoma. All of the patients except the one who was submitted to mesh removal return ed to normal life within a week after the operation. During the follow-up p eriod, none of our patients experienced hernia recurrence. Our results are in accordance with those of the world literature. We perform the tension-fr ee hernia repair by using the expanded polytetrafluoroethylene mesh in our patients because we believe it is a safe procedure without significant post operative morbidity and with no hernia recurrences.