Background: Inguinal hernia repair is one of the most common general surgical procedures worldwide. Conventional repair techniques, including open and laparoscopic methods, may be associated with complications such as chronic pain, recurrence, and longer recovery times. Nigam’s Inverted Curtain Hernioplasty (NICH) is a modified tissue-based repair technique designed to reduce recurrence while minimizing postoperative morbidity.

Objective: This study aimed to evaluate the efficacy, safety, and clinical outcomes of the modified NICH procedure in patients with inguinal hernia.

Methods: A prospective cohort study was conducted involving [number] patients diagnosed with primary or recurrent inguinal hernias. All patients underwent modified NICH repair, which incorporates an inverted curtain technique to reinforce the posterior wall of the inguinal canal. Key parameters assessed included operative time, intraoperative complications, postoperative pain, length of hospital stay, time to return to normal activities, and hernia recurrence during follow-up. Statistical analysis was performed to compare outcomes with standard hernioplasty benchmarks.

Results: The modified NICH procedure demonstrated a mean operative time of [X] minutes, with minimal intraoperative complications. Postoperative pain scores were low, and patients returned to routine activities within [Y] days on average. Recurrence rates at [Z]-month follow-up were [percentage], which is comparable to or better than traditional tissue-based repairs. No major adverse events were observed.