Abstract
Surgical treatment of hernia is a very common procedure performed in the Department of general surgery. The most commonly used methods of hernia repair are herniotomy, herniorrhaphy, and hernioplasty each one has its advantages and disadvantages. We in the present study tried to compare herniorrhaphy with herniotomy alone in young adult patients.
Methods: The present cross-sectional comparative study was carried in the Department of General Surgery, Rajiv Gandhi Institute of Medical Sciences [RIMS] Adilabad. Based on the inclusion and exclusion criteria during the study period, we identified a total of n=40 patients. They were divided equally into two groups. The group I (n=20) consisted of patients undergoing Herniotomy and group II (n=20) were undergoing Herniorrhaphy. The patients presented with symptoms of swelling in the inguinal region with or without pain in the area of varying durations. The patients underwent standardized operative procedures based on the group of the study. The patients were monitored carefully for any complication. Patients were discharged when they were considered fit to go home. Follow up done for every month for 3 months and then once in 6 months.
Results: The mean of Group I was 27.5 years and the mean age Group II was 25.5 years. In both, the groups out of total n=40 patients n=23(57.5%) were with right side involvement. 10% of patients were found to have a bilateral hernia in both the group I and II. The common post-operative complication seen in both the groups was postoperative pain in 10% of patients in group I and 15% of patients in group II. Chronic orchalgia was the commonly found complication and it was present in 5% of patients of group I and 15% of patients with group II.
Conclusion: we concluded that the right side indirect inguinal hernia is very common in young adult males. It was found that herniotomy had advantages like a lesser duration of hospital stay, lesser incidences of postoperative complications. Therefore small hernia in young adults with good abdominal tone herniotomy may the preferred choice of treatment for indirect inguinal hernia.
Keywords: Herniotomy, Herniorrhaphy, uncomplicated Indirect Inguinal Hernia.
References
- John T Jenkins, Patrick J O Dwyer. Inguinal Hernias. British Medical Journal 2008; 336(7638): 269–72.
- Kulacoglu H. Current options in inguinal hernia repair in adult patients. Hippokratia 2011; 15 (3): 223 – 31.
- Oribabor FO, Amao OA, Akanni OS, and Fatidinu SO. The use of nontreated mosquito net mesh cloth for a tension-free inguinal hernia repair: Our experience. Nig J Surg 2015; 21 (1): 48 – 51.
- Adesunkanmi ARK, Badmus TA and Ogundoyin O. Determinants of the outcome of inguinal herniorrhaphy in Nigerian patients. Ann Coll Surg H K 2004; 8: 14 – 21.
- Ohene–Yeboah M and Abatanga F. Inguinal hernia disease in Africa: A common, but neglected surgical condition. West Afr J Med 2011; 30 (2): 77 – 83.
- Bay – Nielsen M, Kehlet H, Strand L, Malmastrǿm J, Andersen F, Wara P, et al. Quality assessment of 26,304 herniorrhaphies in Denmark: A prospective nationwide study. Lancet 2001; 258: 1124 – 28.
- Zendejas B, Ramirez T, Jones T, et al. Incidence of inguinal hernia repairs in Olmsted County, MN. Ann Surg. 2013;257(3):520–26.
- Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide prevalence of groin hernia repair. PLoS One. 2013;8(1):e54367.
- Rosen A, Nathan H, Luciansky EOR. The inguinal region: anatomic differences in men and women with reference to hernia formation. Acta Anat. 1989; 136(4):306–10.
- PJ Vincent, Y Singh VSM, Modern management of Inguinal Hernia. Med J Armed Forces India 2000;56(4):323-27.
- Castrini G, Pappalardo G, Trentino P, et al; The original Bassini’s Technique in surgical treatment of inguinal hernia. Int Surgery 1986; 71:41.
- Sevonius D, Gunnarsson U, Nordin P, Nilsson E, Sandblom G. Recurrent groin hernia surgery. Br J Surg 2011; 98(10):1489–94.
- Alan Hair. What effect does the duration of inguinal hernia have on patient symptoms? Journal of the American College of surgery2001; 193:125-29.
- Luciano A. Favorito, Helce Riberio Julio-Junior, and Francisco J. Sampaio Relationship between undescended Testis Position and prevalence of testicular appendices, epididymal anomalies, and Patency of Processus Vaginalis. BioMed Research International volume 2017; 1-6.
- Palanivelu C. Result of hand sutured laparoscopic hernioplasty: an effective method of repair. Indian Journal of Surgery 2000;62(5):339-41.
- Robb H Ruthledge. Cooper’s ligament repair. A 35 years experience with a single technique for all groin hernias in adults. British J of Surg 1988; 103(1):1-10.
- Sarin YK, Wakhlu A, Agrawal LD, Sharma AK. Inguinal herniotomy in children: a decade’s experience. J Ind Paed. 1993;30(11):1363-66.
- Herzog U. Late results following inguinal or femoral hernia surgery. Langenbecks Arch Chir 1990; 375(1):5-10. [Article in German].
Corresponding Author
Dr S Subhasini
101, East Block, Vasavi Dreams, Street No 2, Czech Colony, Sanath Nagar, Hyderabad 500018, Telangana State
DOI: https://dx.doi.org/10.18535/jmscr/v7i11.01
