Open Access Open Access  Restricted Access Subscription Access

Inguinal Hernia – A Clinical Study


Affiliations
1 Dept. of Surgery, Gauhati Medical College and Hospital, Guwahati, Assam, India
 

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 6th 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.

Keywords

Direct Hernia, Indirect Hernia, Recurrent Hernia, Lichtenstein Mesh Repair, Herniorrhaphy.
User
Notifications
Font Size

  • Javid PJ, Brooks DC. Hernias in Zinner MJ, Ashley SW. Maingot’s abdominal operations. 11thed. New York: Mc Graw Hill; 2007. p. 103-9.
  • Courtney M, Townsend Jr, R. Daniel Beauchamp, B. Mark Evers, Kenneth L. Mattox. Sabiston Text Book of Surgery. 18th ed. Philadelphia:Elsevier; 2010.p.1155-8.
  • VadimS, James RM, Brunicardi F Charles. Inguinal Hernias in Brunicardi F. Charles. Schwartz’s principles of surgery. 9th ed. Mc Graw Hill;2010. p. 1305-42.
  • Adrian Kah Heng Chiow, Chee Keong Chong, Su-Ming Tan. Inguinal hernias: a current review of an old problem. Proceedings of Singapore Health care 2010;19(3):202-11.
  • RVan Hee. History of inguinal hernia repair. Jurnalul De Chirurgie Iasi 2011;7(3):301-19.
  • Earle DB, Romanelli I. Prosthetic materials for hernia. What is new? Contempt Surg 2007:63(2):63-9.

Abstract Views: 51

PDF Views: 0




  • Inguinal Hernia – A Clinical Study

Abstract Views: 51  |  PDF Views: 0

Authors

Chandra Kumar Pulin
Dept. of Surgery, Gauhati Medical College and Hospital, Guwahati, Assam, India
Deepanjali Brahma
Dept. of Surgery, Gauhati Medical College and Hospital, Guwahati, Assam, India

Abstract


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 6th 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.

Keywords


Direct Hernia, Indirect Hernia, Recurrent Hernia, Lichtenstein Mesh Repair, Herniorrhaphy.

References