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INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016 open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15 |
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| Paper Title: | COMPLICATED INGUINAL HERNIA MANAGEMENT IN A TERTIARY CARE HOSPITAL : PROSPECTIVE STUDY |
| Authors Name: | DR.DEEPAK J. VORA , DR.SHASHIKANT V. UMARANIYA , DR.SANKET H. KATARA , DR.RAJ M. GODHANI , DR.PARITA H. DOBARIYA |
| Unique Id: | IJSDR2210080 |
| Published In: | Volume 7 Issue 10, October-2022 |
| Abstract: | BACKGROUND:-As we know Hernia is very common condition and well managed if we intervene timely. In all hernias, inguinal hernia is most common and indirect inguinal hernia is commonest among all irrespective of gender. Due to lack of awareness ,negligence ,social stigma, poverty ,lack of surgical facilities in periphery will lead to serious complications sometimes death. AIM:-This study was conducted to find out modes of presentation , management and post operative outcome of complicated inguinal hernias. METHODS:-20 patients of complicated Inguinal Hernia admitted in general surgery department under SMT. Shardaben general hospital from september 2020 to august 2022 were included in this study. RESULTS:-12(60%) cases admitted within 24 hours of onset of symptoms and 8(40%) cases after 24 hours of onset of symptoms.14(70%) cases of right sided complicated inguinal hernia and 06(30%) cases of left sided complicated inguinal hernia in which 5(25%) cases of bilateral presentation with one sided complicated inguinal hernias. 04(20%) cases have direct type of complicated inguinal hernias and 16(30%) cases have indirect type of inguinal hernias. All 20(100%) patients present with irreducible inguinal hernias in which 07(35%) patients having symptoms of obstruction and 01(5%) patient having symptoms of strangulation. All 20(100%) patients present with irreducible inguinal swelling in which 14(70%) patients having severe pain and 07(35%) patients having associated vomiting and other complains. In 20 operated cases 10(50%) patients having sac containing small bowel only , 07(35%) patients having omentum only , 02(10%) patients having both and 01(5%) patient having appendix with omentum. All 20(100%)patients undergo hernia repair and Mesh-plasty done in 18(90%)patients in which 02(10%)patients having omentectomy. 01(5%) patient under go resection and anastomosis surgery and 01(5%) under go appendectomy with omentectomy and in this both patients only hernia repair was done ,no hernia mesh was placed. All 4 of this patients(2 patients of omentectomy and 01 patient of R.A. and 01 patient of appendectomy+omentectomy) appears after more than 24 hours of onset of symptoms. Among all, 13(65%) patients were obese or having co-morbidity , 07(35%) patients were non obese or without co-morbidity. 06(30%) patients having wound gap and seroma formation as post operative complication in which 4(20%) patients having co-morbidity or obese and admitted after 24 hours of onset of symptoms. No death reported , no cases of post operative mess extraction surgery. CONCLUSIONS:-Patients who admitted within 24 hours of onset of symptoms has less hospital stay and less chances of complication in compare to patient who admitted after 24 hours of onset of symptoms. Obese and/or co-morbid patients have more chances of complication like discharge from stitch line ,seroma formation in compare to those who were non obese and/or with out co morbidity.complicated inguinal hernia is more common in male compare to female and most commonly presented as right side indirect non reducible inguinal hernia. By spreading awareness regarding inguinal hernia ,decreasing social stigma regarding elective surgery and timely intervention leads to prevention of complicated inguinal hernias. KEY WORDS:- complicated inguinal hernia, meshplasty, social stigma |
| Keywords: | complicated inguinal hernia, meshplasty, social stigma |
| Cite Article: | "COMPLICATED INGUINAL HERNIA MANAGEMENT IN A TERTIARY CARE HOSPITAL : PROSPECTIVE STUDY", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.7, Issue 10, page no.462 - 466, October-2022, Available :http://www.ijsdr.org/papers/IJSDR2210080.pdf |
| Downloads: | 000338719 |
| Publication Details: | Published Paper ID: IJSDR2210080 Registration ID:202132 Published In: Volume 7 Issue 10, October-2022 DOI (Digital Object Identifier): Page No: 462 - 466 Publisher: IJSDR | www.ijsdr.org ISSN Number: 2455-2631 |
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