Modified Halsted Type I Surgery for Inguinal Hernia: A Case Series

Background: Inguinal hernia is a prevalent surgical condition, especially among aging males, with a lifetime risk of 27% in men. Surgical repair remains the definitive treatment, commonly performed through open or laparoscopic approaches. While mesh-based open repairs significantly reduce recurrence, the Modified Halsted Type I technique offers a cost-effective and technically feasible option with promising outcomes, even in recurrent cases. To evaluate the efficacy and outcomes of the Modified Halsted Type I surgical techniqu Aim Of Study: e for inguinal hernia repair, particularly focusing on recurrence rates and post-operative complications. A prospective study of c Patients And Methods: ase series was conducted at Jaipur National University Institute of Medical Sciences and Research Centre, Rajasthan, from January 2022 to June 2025. Sixty male patients aged 18 years and above with primary or recurrent inguinal hernias were included. All underwent Modified Halsted Type I repair under spinal anesthesia. The technique involved narrowing of the internal ring (if patulous), reinforcement of the posterior wall with prolene sutures and mesh, and obliteration of the inguinal canal by double breasting the external oblique aponeurosis, with exteriorization of the spermatic cord into the subcutaneous plane. Patients were followed up on day 7, 1 month, and 3 months post-surgery. Among th Results: e 60 patients, 46 had right-sided and 14 had left-sided hernias. The distribution of hernia types was: 36 indirect, 12 direct, 8 pantaloon, and 4 bilateral hernias. Post-operatively, cord oedema was observed in 46 patients, testicular atrophy in 1, and infection requiring mesh removal in 1 patient. Notably, there were no cases of hernia recurrence during the follow-up period. The Modified Halsted Type I technique is a safe, effect Conclusions: ive, and low-complication surgical method for inguinal hernia repair. It demonstrated zero recurrence and minimal complications in this series, making it a viable option, especially for centres with limited access to laparoscopic equipment or expertise.