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Category: Volume 06 Issue 02 February 2018
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Title: A Prospective Study of Inguinal Hernia Patients Managed by Three Stitch Hernioplasty

Authors: Dr S.Jeevaraman, Dr Maragathamani Elangovan, Dr N. Mohammed Niyamathullah, Dr Vijay Anand

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.152

Abstract

Introduction: Hernia is defined as an abnormal protrusion of a viscus or a part of the viscus through a normal or an abnormal opening in the walls of its containing cavity. The external abdominal hernia is the most common form of spontaneous hernia. The treatment options of hernia should be concerned with prevention of recurrence, prevention of infections and economic considerations. The purpose of this study is to report the observations made in the postoperative follow up of hernia repair by three stitch hernioplasty method, in the Department of general surgery, Thanjavur Medical College, over a period of 2 years.

Materials and Methods: 100 cases of inguinal hernia admitted at Thanjavur Medical College and Hospital during the study period June 2015 to June 2017 who satisfied the inclusion and exclusion criteria were included in the study. For all these patients, the usual Lichtenstein’s repair was not done but a slightly modified procedure, THREE STITCH HERNIOPLASTY was done after getting the consent.

Results: Various factors were analysed like age incidence, sex, side and Postoperative complications observed in this group of patients were in 100 patients studied 12 developed seroma, 4 developed haematoma, 2 developed wound infection, 2 developed chronic groin pain, Only one developed recurrence, none developed foreign body sinus and all the patients returned to work early i.e. before 6 weeks except 2.

Conclusion: The Three Stitch Hernioplasty is a simple method, easy  for the beginners to adopt, has less foreign body reaction, less time consuming, causes less tissue trauma and lesser chance of vascular injury.

Keywords: Three stitch hernioplasty, mesh, seroma, recurrence.

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Corresponding Author

Dr N. Mohammed Niyamathullah

Post Graduate, General Surgery, Thanjavur Medical College