Background: To evaluate the incidence of early
recurrence and chronic groin pain in the two groups
of patients (group A=Ligation and excision, group
B=Invagination) with indirect inguinal hernia and to
observe different intraoperative and post-operative
parameters in both groups.

Methods: This prospective randomized study
was done in MVJMC and RH , from 1st December
2016 to 30 th November 2017. All the cases of
indirect inguinal hernia attending the surgical
OPDMVJMC & RHhospital were enrolled in this
study. All the patients underwent Lichtenstein
tension free repair. A total of 50patients were
enrolled in this study. MedCalc Software
Version 12.5.0 was used for the analysis of the
data andMicrosoft word and Excel was used to
generate graphs and tables.

Results: 50 patients of indirect inguinal hernia
with more than 18 years of age were enrolled
and divided into twogroups. Intra operative
complications, post-operative pain by VAS
and post-operative complications observed,
whichwas found insignificant. There was no
seroma and induration on both the study group
at 3 months and 6 monthsinterval. No local
swelling (recurrence) in inguinal region was
seen in patients (both group A and group B)
during the6 months follow up period.

Conclusions: This study shows no difference
in outcome of results in Lichtenstein tension
free hernia repair forindirect inguinal hernia
with two different technique in dealing with sac
except less postoperative pain in invaginationof
sac as compare to ligation and excision.

Keywords: Excision of sac; Hernial sac;
Invagination of sac; Indirect inguinal hernia;
Postoperative pain.