Tension-free open mesh plug repair versus Shouldice repair under local anaesthesia in groin hernia

Since the mid 1980s, dramatic progress has been made in the surgical treatment of hernia in respect of the use of prosthetic mesh. Results in 50 cases of primary groin hernia treated by mesh plug repair were compared with those in a similar number undergoing Shouldice repair under local anaesthesia. The mesh plug repair appears to be an easy, simple, efficient and quick procedure, which can be employed to repair virtually any type of primary or recurrent groin hernia. It is associated with less operative morbidity and less short-term and long-term postoperative discomfort. The study has also confirmed the safety, efficacy and convenience of using local anaesthesia which is 'patient-friendly' and cost-effective and allows an early discharge of the patient. Our experience shows that it can be learnt easily and quickly and should be used as a routine procedure for all groin hernias requiring reinforcement.