Inguinal hernia repair using Lichtenstein technique has become the most frequently tension free procedure performed by general surgeons. This technique is easy to learn, easy to perform under local anaesthesia and demonstrates a low rate of recurrence.

The most commonly used material in this technique is polypropylene, although published results on multifilament polyester meshes demonstrated safe and efficient results.[1] Heavy weight polypropylene meshes have been reported to stimulate inflammatory reaction responsible for mesh shrinkage when scar tissue evolves.[2] Additionally, some concerns remain regarding the relationship between chronic pain and mesh fixation technique.