PROSPECTIVE STUDY OF STOPPA�S PROCEDURE / GIANT PROSTHETIC REINFORCEMENT OF VISCERAL SAC (GPRVS) IN MANAGEMENT OF BILATERAL INGUINAL HERNIA.

Dr. DURGANNA. T; Dr. SHYLESH M P

Volume : VI, Issue : IV, April - 2017

PROSPECTIVE STUDY OF STOPPA�S PROCEDURE / GIANT PROSTHETIC REINFORCEMENT OF VISCERAL SAC (GPRVS) IN MANAGEMENT OF BILATERAL INGUINAL HERNIA.

Dr. Durganna. T, Dr. Shylesh M P

Abstract :

Background: Inguinal hernia repairs are one among the most common surgeries performed by General Surgeons. . Prevalence of hernias in general population is about 5%. Bilateral hernias occur in 6-8% of groin hernias. It is estimated that 20 million hernioplasties are performed worldwide each year. Stoppa�s procedure, also known as GPRVS uses large prosthetic mesh which is placed in the preperitoneal plane covering Myopectineal orifice bilaterally. Stoppa�s repair is useful in cases of bilateral hernias, recurrent and unilateral hernias where risk of recurrence is more. The purpose of present study is to evaluate and analyze the efficacy of Stoppa�s procedure / GPRVS in cases of bilateral inguinal hernias.

Methods: This is a prospective study conducted on about 60 patients presenting with primary bilateral inguinal hernias who underwent Stoppa�s procedure during November 2014 – May 2016 at Victoria Hospital and Bowring & Lady Curzon Hospital attached to BMCRI. This study includes only primary bilateral inguinal hernias. Demographic data such as age, gender, occupation, smoking, symptoms as well as comorbid conditions such as chronic obstructive pulmonary disease, prostatism, and recurrence were collected. Duration of surgery was also noted. Complications such as seroma, hematoma, ishchaemic orchitis, and wound infection were recorded. Duration of hospital stay was recorded. Chronic groin pain and recurrences in each group were also recorded.