Modified anterior preperitoneal mesh repair versus Lichtenstein mesh repair for inguinal hernias – A randomized controlled trial

A hernia is the protrusion of an organ or fatty tissue through the wall containing it, often due to weak muscle or connective tissue. Inguinal hernias are common, especially in males, often resulting from the descent of the testis during birth. This study aims to compare two surgical techniques for inguinal hernia repair: Modified Anterior Preperitoneal (mAPP) mesh repair and Lichtenstein mesh repair. Conducted as a randomized controlled trial at Rohilkhand Medical College, the study will include adult patients with inguinal hernias, excluding those with severe health issues or recurrent hernias The study will assess operative time, complications, postoperative pain, hospital stay, and recurrence rates over one year at Rohilkhand Medical College, ensuring ethical standards, including informed consent and data protection. Participants will be randomly assigned to either mAPP or Lichtenstein repair. The mAPP technique involves placing a polypropylene mesh in the preperitoneal space, while the Lichtenstein method involves exposing and reinforcing the inguinal canal with mesh. With a sample size of 32 in each group, data will be analyzed using statistical methods, with a significance level set at p < 0.05. This research seeks to evaluate the effectiveness of mAPP as an alternative to Lichtenstein repair. Both surgical techniques will be assessed for their effectiveness and associated complications.