How to Cite

Nasir, M., Paracha, S., Khan, I., Tahir, M., & Wahab, K. (2013). OUTCOME OF DARN REPAIR WITH POLYPROPYLENE FOR PRIMARY INGUINAL HERNIA: AN EXPERIENCE OF 837 CASES. KHYBER MEDICAL UNIVERSITY JOURNAL, 5(1), 31-35. Retrieved from https://www.kmuj.kmu.edu.pk/article/view/9855


Objective: To determine the outcome of Darn repair for primary inguinal hernia in terms of postoperative complications and recurrence rate.

Methodology: We studied 837 patients having primary inguinal hernia. This descriptive study was conducted at Surgical Department Agency Headquarter Hospital Ghallanai at Mohmand Agency and District Headquarter Hospital, Kohat. Adult patients of both genders, who underwent standard open hernia repair with Prolene darn from June 2005 to June 2010, were included in the study. Out of 837 cases 712 were operated under spinal anesthesia, 08 under local anesthesia and 117 under general anesthesia. Patients were followed up at one week, one month, six month and one year postoperatively for any complication.Data was analyzed by using software SPSS-14.

Results: Out of 837 operated cases 820 (98.96%) were males and 17 (2.03%) were females with male to female ratio of 48:1. Age ranged from 21-88 with mean of 49+17.18 years. Indirect hernia, direct hernia and pantaloon hernia were seen in 623 (74.50%), 211 (25.20%) and 3(0. 30%) cases respectively. Twenty one (2.5 %) patients went into postoperative urinary retention. Postoperativewound infection occurred in 13 (1.55 %) and scrotal hematoma in 5 (0.60 %) cases. Out of 837 patients, 157 (18.76%) patients were lost to the follow up. Recurrence rate was 0.48 % (n=4). No mortality was found in this study.

Conclusion: Posterior wall strengthening with polypropylene darn in patients with primary inguinal hernia has excellent outcome and its results are comparable to any well reputed repair.




Khan M, Khan SM, Sharafat S, Khan Z. Inguinal herniorrhaphy with Vicryl darn: Experience with 1150 cases. J Postgrad Med Inst 2006; 20: 44-7.

Cuschieri A. Disorder of the abdominal wall and peritoneal cavity. In: Cuschieri A, Steele RJ C, Moos a AR (edi) Cuschieri Essential Surgical Practice. 4th edition, London, Arnold 2002; 167-79.

Rosch R, Klinge U, Si Z, Junge K, Klosterhalfen

B, Schumpelick V. A role for the collagen I/III and MMP-1/-13 genes in primary inguinal hernia? BMC Medical Genetics. 2002; 3: 2.

Di Saverio G. Reconstruction of the wall in the direct inguinal hernia: Proposal of technical variant. G Chir 1989; 10: 523-4.

Karen ED. Hernias and other lesions of abdominal wall. In: Lawrence WW, Gerald MD. (Ed). Current surgical diagnosis and treatment. 11th ed New York;Mc Graw Hill, 2003; 783-96.

Lichtenstein IL, Shulman AG, Amid PK, Montllor M. The tension free hernioplasty. Am J Surg 1989; 157: 188-93.

Koukourou A, Lyon W, Rice J, Wattchow A. Prospective randomized trial of polypropylene

mesh compared with nylon darn in inguinal hernia repair. Br J Surg 2001; 88: 931-4.

Watkin DFL, Kirk RM. Abdominal wall and groin. In: Kirk RM. (Ed) General surgical operations. 4th edition. London: Churchill Livingstone, 2000: 118-27.

Thapar V, Rao P, Deshpande A, Sanghavi B, Supeldice AN. Shouldice’s herniorrhaphy versus Moloney’s darn herniorrhaphy in young patients: A prospective randomized study. J Postgrad Med 2000; 46: 9-12.

Moloney GE. Results of nylon darn repair of hernia. Lancet 1958; 1: 273.

Farooq O, Rehman BU, Batool Z. Prolene darn: Safe and effective method for primary

inguinal hernia repair. J Coll Physicians Surg Pak 2005; 15(6): 358-61.

Ali M, Habiba U, Hussain A, Hadi G. The outcome of darning method of inguinal hernia repair using polypropylene in a district general hospital. J Postgrad Med Inst 2003; 17(1): 42-5.

Beattie DK, Foley RJE, Callam MJ. Future of laparoscopic inguinal hernia surgery. Br J Surg 2000; 87: 1727-8.

Voyles Cr, Hamilton BJ, Johnson WD, Kano N. Meta-analysis of laparoscopic inguinal trials favour open hernia repair with preperitoneal mesh prosthesis. Am J Surg 2002; 87: 860-7.

Richards SK, Earnshaw JJ. Management of primary and recurrent inguinal hernia by surgeons from South West of England. Ann R Coll Surg Engl 2003; 85: 402-4.

Farooq O, Ur-Rehman B, Batool Z. Prolene darn: safe and effective method for primary inguinal hernia repair. J Coll Physcians Surg Pak 2005; 15(6): 358-61.

David HB, Andrew NK. Hernias, umbilicus

and abdominal wall. In: Russell RGC, Williams NS, Bulstrode CJK (edi). Bailey and Love’s short practice of surgery. 24th edition London Arnold 2004; 1271-87.

Bhatti AZ, Rasool MI. Darning versus Bassini repair in primary unilateral inguinal hernia. J Coll Physicians Surg Pak 2002; 12: 169-71.

Kingsnorth AN, Gray MR, Nott DM. Prospective randomized trial comparing the shouldice technique and plication darn for inguinal hernia. Br J Surg 1992; 79: 1068-70.

Juul P, Christensen K. Randomized clinical trial of laparoscopic versus open inguinal hernia repair. Br J Surg 1999; 86: 316-9.

Morgan M, Reynolds A, Swan AV, Beech R, Devlin HB. Are current techniques of inguinal hernia repair optimal? A survey in the United Kingdom. Ann R Coll Surg Engl 1999; 73: 341-5.

Stephenson BM. Complications of open groin hernia repair. Surg Clin North Am 2003; 83: 1255-78.

El-Barkry AA. Plication darn for the repair of inguinal hernia: a university hospital experience. Saudi Med J 2002; 23: 1347-9.

Ger R, Monroe K, David R. Management of indirect inguinal hernia by laparoscopic closure of the neck of sac. Am J Surg 1990; 159: 370-3.

Graupe F, Schwenk KW, Hucke HP, Stock W. Inguinal hernia repair modified by Kirschner: a critical analysis after eleven years of clinical experience. Langenbeck’s Arch Chir 1992; 377: 324-31.

Tran VK, Putz T, Rohde H. A randomized controlled trial for inguinal hernia repair to compare the shouldice and the Bassins-

Kirschner operation. Int Surg 1992; 77: 341-5.

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