الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The true incidence of chronic pain after inguinal herniorrhaphy is unknown and, until recently, was a secondary consideration, recurrence rates being deemed of greater importance. As recurrences have declined, though, more attention is now being focused on chronic pain.
Understanding the problem and dealing with it requires knowledge of the anatomy of the inguinal nerves, selecting an appropriate mesh, implementing specific perioperative techniques, diagnosing chronic postoperative pain and its management.
The aim of this study is to evaluate the use of a self-gripping mesh in the repair of inguinal hernia as regards the ease of use, operative time, local recurrence and incidence of chronic pain 3 and 6 months following surgery.
This work included 30 male patients with primary uncomplicated unilateral inguinal hernia without history of recent abdominal surgery or under chronic analgesia.
Patients were operated under general or regional anesthesia and had standard Lichtenstein tension free hernia repair with a new self-gripping mesh (ParietexTM ProGripTM). Postoperative complications were observed. Chronic pain at 3 and 6 months was recorded.
Age ranged between 20 and 60 years with a median of 36 years. 19 patients (63.3%) were younger than or 40 years old and 11 patients (36.6%) were older than 40 years. BMI ranged from 20-30 with a median of 25. Duration of complaint ranged from 3 months to 4 years with a median of 10.5 months.
12 patients (40%) had previous groin pain while 18 patients (60%) did not have groin pain. 25 patients (83.3%) were operated under spinal anesthesia. Of these 8 patients (26.7%) had additional local anesthesia. 5 patients (16.7%) were under general anesthesia.
Operative time ranged from 25-67 minutes with a median of 40 minutes. 17 operations (56.7 %) lasted 40 minutes or less, while 13 operations (43.3%) lasted longer than 40 minutes.