The Feasibility of Mesh Repair for Emergency Inguinal Hernia Surgery in Low-Income Setting

Introduction: Inguinal hernias are a cause of about 75% of all abdominal hernias. Surgery is the definitive treatment of hernia of any type. In inguinal hernia, Modified Bassini’s Repair and Lichtenstein Mesh Repair (LMR) are the most common surgical approaches used in daily surgical services. However, Modified Bassin’s technique is the most surgical approach in an emergency because it is easily accessed and has low post-operative complications such as infection, hemorrhage and seroma. Herein, we present a case of an adult male who presented with strangulated inguinal hernia, gangrenous bowel and end-to-end anastomosis along the incision site followed by MLR, and a good outcome. The aim of this case is to improve surgeons on MLR in complicated inguinal hernia management particularly the patients who are at risk of post herniorrhaphy recurrent.