The Modified NICH (Nigam’s Inverted Curtain Hernioplasty) for Inguinal hernia – A foolproof Procedure for Recurrence

Abstract

It is a procedure where NICH is modified with basic repair, 2 stitches approximating inguinal ligament with conjoint tendon. Hundred patients were operated between April 2012 to April 2022 by modified NICH technique. All were primary uncomplicated cases of inguinal hernia. Modified NICH procedure for inguinal hernia takes care of recurrence better than any other procedure for inguinal hernia. Though NICH is a good modification of tension - free Lichtenstein procedure for inguinal hernia but modified NICH further improves the results specialty the recurrence. Modified NICH hernioplasty gives added advantages of repairing posterior inguinal wall which directly influences the recurrence rate. In our series of 100 cases no post – operative recurrence was noted. Though the series described here is small so more cases and more time is required to further confirm the results.

Key words: Hernioplasty, Inguinal hernia, Modified NICH, NICH, Recurrence.