Comparative Study Between Lichtenstein Procedure and Modified Darn Repair in Treating Primary Inguinal Hernia. A Prospective Randomized Controlled Trial.

Modified darn repair: The procedure started by taking the first stitch on the pubic tubercle using O polypropylene. The thread was passed through the inguinal ligament and the internal oblique fascia fibres in a continuous tension free manner. Suturing was proceeded from medial to lateral in a crisscross pattern with 1 cm interval between each suture. On reaching the cord at the deep ring, care was taken to pass the sutures around the cord with no pressure, then the sutures are ligated 2-3 cm lateral to the deep ring. Security sutures (2-O monofilament polypropylene) were taken in a continuous manner starting at the pubic tubercle and passing through the edges of the repair at the inguinal ligament and the internal oblique fascia fibres and through the loops of the previous sutures. Procedure duration is about (60 - 120 minutes)