Introduction: Emergency inguinal hernia repair is difficult because of complications such as irreducibility, obstruction, or strangulation. The most common are the Lichtenstein tension-free mesh repair and the modified Bassini repair, which is not well represented in any comparative data in emergency cases. This paper will draw a comparison between their effectiveness in a tertiary care setting. Methods and Materials: The study was a prospective randomized study and took place between May 2009 and April 2012 at a tertiary care centre and included 150 emergency inguinal hernia patients. The patients were divided at random into Lichtenstein (n=75) and modified Bassini (n=75) repair. Outcomes were operative time, hospital stay, wound complications (seroma, dehiscence, infection, mesh infection/rejection) and long term complications (neuralgia, recurrence). Analyses were conducted in SPSS version 20.0 (t-tests, chi-square tests, and logistic regression, p<0.05 to determine significance). Results: The mean age was 52.3/14.7 years (Lichtenstein) and 53.1/15.2 years (Bassini) (p=0.72). The Lichtenstein group had a lower mean operative time (54.2 ±11.3 vs. 60.1 ±13.7 minutes, p=0.01), a
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