Comparative Study of Application of Mesh in Front versus Behind the Fascia Transversalis in Inguinal Hernia Repair

Background: The word hernia is derived from the Latin word Sacci Hernialis, which means to rapture. Hernia is defined as an abnormal protusion of an organ or tissue through a defect in its surrounding walls. An inguinal hernia repair can be done either laparoscopic method or open method with or without the use of mesh. Objective: To study the outcomes of application of mesh in front and behind the fascia transversalis in inguinal hernia repair. Material and Method: Study was conducted from Feb. 2021 to Feb. 2022 in the department of general surgery of Veerangava Avantibai Lodhi autonomous state medical college etah. All patients who are above 18 years with primary uncomplicated inguinal hernia were included in the study after taking prior informed consent. Total numbers of patients included were 80. Patients were divided into two groups randomly: Group A: It included 40 patients in whom repair was done by placing mesh in front of fascia transversalis, Group B: It included 40 patients in whom hernia repair was done by placing behind fascia transversalis. Conclusion: placement of polypropylene mesh anterior to transversalis fascia had better outcome as opposed to posterior placement.