Stoppa's Repair in Bilateral Inguinal Hernia

Abstract Introduction: Inguinal hernia present a significant burden globally, necessitating effective surgical repair. All hernias were repaired anatomically before the mesh era started. Results of the operations done were also reasonably satisfactory, But the large, complex and bilateral inguinal hernias were a problem for anatomical repairs due to more complications and recurrences. This review aims to provide effectiveness of rives-stppa’s repair in bilateral complex and recurrent inguinal hernia in terms of outcomes like recurrence rate , days of hospital stay , patient related factors like defect size, secondary complications , mesh related complications etc. Materials and Methods: A prospective observational study was performed in the department of general surgery, medical college, baroda. In period between Oct. 2023 to Aug. 2024, a total of 50 patients were enrolled for which Stoppa’s repair done for bilateral inguinal hernia. Results: The mean age of patients in study was 57.20 ± 12.95 years. Out of 50 patients, 8% of SSI was identified among our study population. The mean time taken for stoppa’s repair was 66.90 ±11.29 Min. Mean Day of Hospital stay was 2.38 ± 1.12 Day. post-operative pain assessed by Visual analogue score (VAS) pain score was significantly decreased at day-7 p value is (p=<0.0001). In our study 16% had seroma, 18% hematoma, 20% had pain (testicular) and 14% had swelling type of complications with zero recurrence. Conclusion: Preperitoneal approach used in stoppa’s repair is considered suitable method which work on pascal’s principle. It is invasive compared to other open techniques, leading to reduced postoperative pain and quicker recovery. Suitable for complex hernias: large, complicated or recurrent inguinal hernia.