%0 Journal Article %T Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia %J International Journal of Medical Arts %I Al-Azhar University (Damietta), Faculty of Medicine %Z 2636-4174 %A Behiery, Ahmed Talat Ali %A Sayouh, Ahmed Salama %A Salem, Nagah Atwa %D 2021 %\ 07/01/2021 %V 3 %N 3 %P 1589-1597 %! Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia %K Inguinal %K Huge %K double %K single %K Mesh %R 10.21608/ijma.2021.56574.1239 %X Background: Recurrence after surgical treatment of inguinal hernia is still a challenge facing surgeons during their daily practice. Aim of the Work: The current trial aims to compare single and double mesh placement in huge inguinal hernia repair. Patients and Methods: 40 cases were involved in the study. They were classified into two equal groups according to the operative technique [A for single mesh and B for double mesh]. The study's candidates were examined and investigated thoroughly regarding their complaint, the presence of a clinically detectable hernia in the inguinal region, its size, characters, onset, duration, and associated symptoms. Then, all were examined clinically and prepared for surgical intervention after lab investigations. Results: The mean ages were 56 and 56.9 years for groups A and B. Both groups were comparable to body mass index, risk factors, type of hernia, hernia side, and intraoperative blood loss. There was a significant decrease in operative time in group A when compared to group B [54.50 ± 8.256 vs. 61.25 ± 6.664 minutes, respectively]. The overall rate of complications was lower in group B when compared to group A [30.0% vs. 50.0%, respectively]. Complications in group A were seroma [10.0%], wound infection [5.0%], scrotal edema [25.0%], and chronic pain [10.0%]; while in group B, seroma [10.0%], scrotal edema [5.0%], chronic pain [15.0%]. Recurrence was confined to group A, and reported to three patients [15.0%]. However, the difference was statistically nonsignificant. Conclusion: Double mesh technique is a safe and efficacious approach for managing huge inguinal hernia. It is associated with lower rate of recurrence than the single mesh approach with comparable operative time, complications, and outcomes.  %U https://ijma.journals.ekb.eg/article_172863_94a78d455ce169576c1ae4c048db8f02.pdf