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Category: Volume 07 Issue 11 November 2019
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Title: A comparative study of Herniotomy versus Herniorrhaphy in adults with uncomplicated indirect Inguinal Hernia in a Teaching Hospital

Author: Dr S Subhasini

 DOI: https://dx.doi.org/10.18535/jmscr/v7i11.01

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.

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Corresponding Author

Dr S Subhasini

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