A study about Comparison of Treatment outcomes in cases of Inguinal Hernia managed by different methods of Surgical Repair

Dr. Ramesh Kumar Panthi; Dr Gambheer Singh

Volume : IX, Issue : III, March - 2020

A study about Comparison of Treatment outcomes in cases of Inguinal Hernia managed by different methods of Surgical Repair

Dr. Ramesh Kumar Panthi, Dr Gambheer Singh

Abstract :

Introduction : Hernia generally means weakness or defect of the body wall muscle fibers that provide a space for protrusion of internal organs. Prevalence of the inguinal hernia is nearly 5% worldwide . This study aims to evaluate and compare the results of inguinal herniorrhaphy with mesh in classic and preperitoneal method because of the high incidence of complications after inguinal herniorrhaphy and the variety of reconstructive procedures in randomly general hospitals. Methods: Case sheets of 200 patients were selected which were proven cases of Inguinal Hernia during a period of 4 months from year Aug 2019 to Nov 2019. Subjects included both the genders , all age groups including pediatric and geriatric age group and all classes of socio economic strata.Patients were assigned to two treatment groups. Duration for surgeries was approximately between 40 mins and 60 minutes. The patients underwent a surgical repair in inguinal hernia with classic versus preperitoneal methods under spinal anesthesia. Results: The rate of recurrence was 9% in the classic group and 2% in the preperitoneal group. This difference was significant t (𝑝 = 0.01) The frequency of postoperative pain was 21% in the classic group and 9% in the preperitoneal group. This difference was significant (𝑝 = 0.01) The frequency of postsurgical hematoma was 7 % in the classic group and 9% in the preperitoneal group. This difference was not significant (𝑝 = 0.612 ) The rate of postsurgical seroma was 8 % in the patients treated with the classic method. This value was 1 % with the preperitoneal method; hence, this difference was significant (𝑝 = 0.043) Conclusion: The rate of recurrence, postoperative pain, and hematoma was significantly lower in the preperitoneal group compared with the classic one in this study. It seems that the preperitoneal method is a more suitable method for inguinal herniorrhaphy than the classic one because of fewer complications, according to the findings of this study.