Inguinal Hernia – A Clinical Study

Introduction: Hernias are among the oldest known afflictions of mankind and surgical repair of the inguinal hernia is the most common general surgery procedure performed. Aim: The objectives of this study are to study the incidence and different modes of presentation of inguinal hernia and its best possible management with an idea of preventing the recurrence and minimizing other post-operative complications. Methods: 137cases of inguinal hernia admitted from June 2013 to May 2014 in Gauhati Medical College and Hospital, Guwahati were selected randomly for this study. Patients below 12 years were excluded from the study. The data was analysed using standard statistical methods. Results: Incidenceof inguinal hernia was highest in the 6^th decade with male to female ratio of 44.6:1. Indirect hernia was the commonest type 20.54 % were complicated inguinal hernias. Incidence was more common in those engaged in hard and strenuous work. Smoking was associated with 64.9% of patients. Lichtenstein mesh repair was done in 105 hernias, herniotomy in 6 and laparoscopy in 5 cases. Post–operatively minor complications were encountered and managed accordingly. One recurrence was noted in Bassini’s repair. Conclusion: Inguinal hernia is a common condition which can affect any age group and both sexes, with a higher incidence seen in males and in the age group 51-60 years. Its incidence is more common in occupation involving strenuous work. Smoking is an important risk factor. Lichtenste in mesh repair is the standard method of repair with fewer complications and is cost effective.