Background: Lichtenstein hernioplasty is now standard surgery for inguinal hernia repair. The aim of the study was to compare the short-term and long-term outcomes of the open preperitoneal mesh repair with the Lichtenstein mesh technique repair for inguinal hernia which could be a better option.

Methods: 203 consecutive patients with inguinal hernia were randomized (according to a random table) to undergo either a open preperitoneal or a Lichtenstein repair under anesthesia. Early outcome measures duration of surgery, postoperative complications. Early complications like wound pain, wound infection,. Late complications like pain and recurrence.

Time to return to work and full activity.

Results: In our study we found that though the operative time in open preperitoneal mesh repair is longer than the conventional Lichtenstein mesh repair the post operative pain, infection, duration of hospital stay and recurrence rate is less.

Conclusions: In conclusion we recommend open preperitoneal repair in inguinal hernia in place of Lichtenstein repair. The use of open preperitoneal hernia repair for inguinal hernia is safe, post operative pain and recurrence rate is minimal.

Keywords: Inguinal hernia, preperitoneal mesh repair, Lichtenstein mesh repair.