"Repair-tension free & recurrence free" Traditionally done operations today are tension repairs like Bassini, Shouldice or MacVay's repairs and tension free repairs like repairs done with mesh, plug and mesh or PHS (Prolene Hernia System). All tension repairs have high rate of recurrences and post-operative pain. Sutures are under tension even at rest and gets aggravated during contractions and scar shrinkage in healing process. Therefore, these tension repairs are practically replaced by tension free repairs where mesh prosthesis is used.
But then there are many associated complications of a foreign body. Mesh is prepared from PVC material and therefore recurrence, pain, infection, migration, rejection, testicular ischemia or atrophy and perforations are all documented complications. Laparoscopic hernia surgery reduces pain but then there are dangers of general anaesthesia, gas filling…
