Clinical study and management of congenital inguinal hernia in a tertiary care teaching institute
Journal Title: Surgical Update: International Journal of Surgery and Orthopedics - Year 2018, Vol 4, Issue 1
Abstract
Background: Inguinal hernia in children is a quite common presentation and inguinal herniotomy is a frequently done procedure in children for inguinal hernia. Inguinal hernia has a higher familiar incidence and it has been observed with increasing frequency in twins and siblings of patient. The aim of the study is to evaluate the clinical presentation, management and outcomes of the patient with congenital inguinal hernia undergoing herniotomy. Methods: This prospective study includes 54 patients who were operated for congenital inguinal hernia at Bundelkhand Medical College and Associated Hospital Sagar from April 2015 to October 2016. Patients of age group 2 months to 12 years were included in the study. Patients presenting with acute scrotal conditions like incarcerated hernia, strangulated hernia and obstructed hernia were excluded from the study. A detailed history, clinical presentation and routine investigations, were done in all cases. Results: In the present study most of the patients were male. Inguinal hernia can occur at any age but majority of the patients 53.70% are seen between 1-5 years of age. Swelling in the inguinal region was the commonest symptoms. Incidence is slightly higher on the right side. Almost all of the inguinal hernias in paediatric age group are of indirect type, which develops due to congenitally patent processes vaginalis. The most common post-operative complication was reactive hydrocele and all of them resolved by the second week. No recurrence was reported in the study. Conclusions: Inguinal hernia is a common surgical condition in children. Early surgical intervention in form of inguinal herniotomy is the most appropriate management of inguinal hernia in children
Authors and Affiliations
Nagendra Singh, Dushyant Kumar Rohit, R. S. Verma, Grishmraj Pandey
Keywords
Related Articles
- EP ID EP343926
- DOI 10.17511/ijoso.2018.i1.09
- Views 147
- Downloads 0
Morphometry of iliotibial tract and its surgical importance: an anatomical study
Background: The fascia lata thickens over the lateral surface of thigh to form a strong band iliotibial tract. It is considered as an anterolateral knee stabilizer. Methods: The present study was carried out in 16 right...
Comparison of PFN (Proximal femoral nail) and DHS (Dynamic hip screw) in treatment of Intertrochanteric femur fractures
Introduction: Intertrochanteric femur fractures are common in the elderly people. The frequency of these fractures has increased primarily due to the increasing life span and more sedentary life style brought on by urban...
A hospital based clinico-pathological study of soft tissue tumors
Background: Soft tissue sarcomas can develop from soft tissues like fat, muscle, nerves, fibrous tissues, blood vessels, or deep skin tissues. They can be found in any part of the body, commonly seen in the trunk, head a...
A clinical study to predict the outcome of patients with hollow viscus perforation in a tertiary care hospital using manheim peritonitis index
Introduction: Since a longtime multiple effort are been put forwarded to design an effective scoring system as to predict the outcome as to mortality and morbidity of patients admitting to hospitals with hollow viscus pe...
Validity and reliability of faecal antigen test in identifying h. Pylori infection in adults with dyspepsia
Background: H. Pylori is one of underdiagnosed and undertreated in many developing countries, including in India. Faecal antigen test, which is a noninvasive, simple to conduct screening test is reported to be ideal for...