Objective: To compare the results of Bassini vs Darn inguinal hernia repair techniques in terms of postoperative pain, infection rate, hospital stay, resumption of duty and recurrence.
Methods: A randomized controlled prospective comparative study of inguinal hernia repair was conducted in Combined Military Hospital Quetta, and Combined Military Hospital Rawalpindi from Jan 2001 till June 2004. Seventy-eight patients of both sexes between 20-60 years with primary inguinal hernia were included in the study. Patients with obstructed/strangulated and recurrent inguinal hernias were excluded. They were randomly assigned to group I having 42 (53.76%) patients treated by Bassini repair and group II, 36 (46.24 %) patients repaired with Darning technique.
Results: In group I, severe post-operative pain requiring intra-muscular analgesics occurred in 24 (57.14%) patients, infection occurred in 3 (7.14 %), mean hospital stay was 5 days (4- 6 days), assumption of duties took 5-6 weeks and recurrence at the end of one year was 4.76%. In group II, severe postoperative pain requiring intra-muscular analgesics occurred in 9 (25%) patients, infection occurred in one (2.8%), mean hospital stay was 4.5 days (4- 5 days), assumption of duties took 4-5 weeks and recurrence at the end of one year was 0%. Conclusion: Darn repair, though a difficult procedure is a better technique than simple Bassini repair with a low morbidity and recurrence rate. (Rawal Med J 2006;31:67-69)
Key words: Inguinal hernia, Darn repair, Bassini repair, hernioplasty, post operative complications