The Lichtenstein tension-free mesh repair for inguinal hernia uses which type of mesh and is associated with what recurrence rate at 5 years in experienced hands?

• A Biologic mesh; 1–2%
• B Polypropylene monofilament mesh; less than 1% ✓
• C ePTFE (Gore-Tex) mesh; 3–5%
• D Composite (dual-layer) mesh; 2–3%

Explanation

The Lichtenstein repair uses a flat polypropylene monofilament mesh placed on the floor of the inguinal canal to reinforce the posterior wall without tension. In experienced hands with correct technique it achieves recurrence rates of less than 1% at 5 years. It is the gold-standard open repair recommended by the European Hernia Society for primary inguinal hernia. Chronic groin pain (inguinodynia) affects 10–15% of patients and is the main long-term complication.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.