JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v3i4.2264 jpsim.v3i4.2264 Original Research Efficacy of Conservative Versus Surgical Management of Irreducible Inguinal Hernia in Patients Presenting at Mayo Hospital Lahore Asghar Huria huria_58@yahoo.com * Fazal Muhammad Irfan Siddque Muhammad Ahmad Muhammad Naseem Maha Hussain Matloob Hassan Azhar King Edward Medical University, Lahore Central Park Medical College Lahore *Correspondence: Huria Asghar (huria_58@yahoo.com) 18 12 2022 2022 3 4 328 330 23 07 2022 09 10 2022 Copyright © 2022 The Author(s) 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Objective

comparison of the efficacy of conservative versus surgical management of irreducible inguinal hernia in our practice

 Methodology

We studied all the patients of irreducible inguinal hernia who presented with swelling and were managed conservatively as well as those who were operated on emergency basis during one year period(01/01/2018to 31/12/2018). A total of 54 patients were included in the study

 Results

frequency of irreducible inguinal hernia was found to be 18%(54 cases out of total300 presenting with swelling in inguinal region). 27 cases were operated in emergency and intraopertively 11.11 % (3 out of 27) had momentum in contents only, gut with momentum in 37%(10 out of 27) however gut was viable in 88.8%(24 out of 27) patients and only 3.7%had gangrenous gut. Out of 27 managed conservatively only 11.11 did not resolved leading to need for surgery while 88.8% (24 out of 27)managed successfully.hospital stay postoperatively was 79% for 1-3 days and rest of them stayed for more than 3 days.patients managed on conservative lines were discharged on second day while 11.11% converted to operated and stayed for more than 3 days

 Conclusion

majority of patients can be managed conservatively only small number of operated cases had gangrenous gut who needed resection and anastomosis and stoma formation

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