# Our First Experience in Using Anatomically Fitted Mesh Implant (Hertra™) During Lichtenstein Repair: A Case Report

## TL;DR

The paper reports a successful hernia repair using a pre-shaped mesh implant, highlighting its benefits in a patient with multiple health conditions.

## Contribution

Demonstrates the practical application of anatomically fitted mesh in Lichtenstein repair with a real patient case.

## Key findings

- Anatomically fitted mesh implant was successfully used in Lichtenstein repair.
- Procedure achieved concise surgical time and manageable postoperative complications.

## Abstract

This article's main goal is to highlight the successful use of a pre-shaped, anatomically fitted mesh implant in Lichtenstein repair. We treated a 65-year-old male patient who experienced a left-sided hernial protrusion for six years, taking into account his concomitant comorbidities: secondary controlled hypertension, chronic superficial gastritis, and lumbar osteochondrosis with an old scar of appendectomy. Lichtenstein repair using a pre-shaped anatomically fitted polypropylene mesh implant with single-suture fixation was the chosen strategy for repair, achieving a concise surgical time along with initial and delayed onset of postoperative complications.

Our objectives during the management of hernia were the use of anatomically fitted mesh implants, seamless fixation, and access to the advantages of anterior hernia repair. Here, we discuss the patient's condition, including medical history, current and local conditions, findings from the investigation, the surgical procedure, and post-surgical developments, additionally elucidating experience-related surgical techniques.