A DESCRIPTIVE STUDY OF INGUINAL HERNIOPLASTY IN A TERTIARY CARE CENTRE
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 73
Abstract
BACKGROUND Hernia may be defined as a protrusion of abdominal viscera outside the abdominal cavity through a natural or acquired defect. Inguinal hernias present with a lump in the groin that goes away with minimal pressure or when the patient is lying down. Most cause mild-to-moderate discomfort that increases with activity. A clinical study on inguinal hernia is undertaken to assess the incidence of inguinal hernia in relation to age, gender and occupation, and to find the complications of inguinal hernioplasty in repairing uncomplicated inguinal hernia by measuring postoperative pain and post-operative complication. Recurrences have been a significant problem following hernia repair. Prosthetic materials have been increasingly used in hernia repair to prevent recurrence. MATERIALS AND METHODS In this descriptive study, 100 tension-free inguinal hernia repairs were performed between June 2015 and April 2017 in 100 patients using a polypropylene mesh (Lichtenstein technique). The main outcome measure was early and late morbidity and especially recurrence. RESULTS Inguinal hernia was indirect in 55% of cases (55 patients), direct in 30% (30 patients) and of the pantaloons (mixed) type in 15% (15 patients). Followup was completed in 80 patients (80%) by clinical examination. Seroma and haematoma formation was observed in 6 patients. No acute infection or abscess formation was identified. There was no recurrence of the hernia. Postoperative neuralgia was observed in 5 patients (5%). CONCLUSION Lichtenstein tension-free mesh inguinal hernia repair is a simple, safe and effective method with low early and late morbidity and low recurrence rate and it is our preferred method for hernia repair
Authors and Affiliations
Naresh Kumar P, Kasinath Panda2
Keywords
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- EP ID EP265805
- DOI 10.14260/Jemds/2017/1138
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