Efficacy of Conservative Versus Surgical Management of Irreducible Inguinal Hernia in Patients Presenting at Mayo Hospital Lahore
Abstract
comparison of the efficacy of conservative versus surgical management of irreducible inguinal hernia in our practice
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
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
majority of patients can be managed conservatively only small number of operated cases had gangrenous gut who needed resection and anastomosis and stoma formation
How to Cite This Article
Asghar H, Fazal MI, Siddque M, Ahmad M, Naseem M, Hussain M, et al.. Efficacy of Conservative Versus Surgical Management of Irreducible Inguinal Hernia in Patients Presenting at Mayo Hospital Lahore. J Pak Soc Intern Med. 2022;3(4):328–330. doi:10.70302/jpsim.v3i4.2264
Conflict of Interest
All authors declare no competing interests.
Funding
No specific funding was received for this research.
Funder information follows the Crossref Funder Registry standard.
References
- Bax T sheppard BC , Crass RA.surgical options in the management of groin hernias. Am Fam Physician. 1999;59(1):143-56.
- Attah C Anikwe R Obstructedhernia in Nigeria. A common surgical emergency. New York J Med. 1982;82(3):305.
- Friedman D schwartzbard A velcek F Klotz D kottmeier P The government and inguinal hernia. J Pediat Surg. 1979;14(3):356-9.
- Chawla S. Recent concepts in inguinal hernia repair. Med J Dr DY Patil Univ. 2013;6(4):381-2.
- Brooks D. Overview of complications of inguinal and femoral hernia repair. Up To Date 2022.
- Sarli L, lusco DR. Sansebastiano G, Costi R. Simultaneous repair of bilateral inguinal hernias: a prospective, randomized study of open, tension-free versus laparoscopic approach. Surg Lapar Endo Percut Tech. 2001;11(4):262-7.
- Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, Dunlop DD, Reda DJ, McCarthy M, et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA. 2006:295(3):285-92.
- Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet 2003:362(9395):1561-71.
- Turaga K, Fitzgibbons RJ, Puri V. Inguinal hernias: should we repair? Surg Clin North Am. 2008;88(1):127-38.
- Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons Jr R, Dunlop D, Gibbs J, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Eng J Med. 2004;350(18):1819-27.
- Leech P, Waddell G, Main RG. The incidence of right inguinal hernia following appendicectomy. British journal of surgery 1972;59(8): 623.
- Ballas K Kontoulis T, Skouras C, Triantafyllou A Symeonidis N Pavidis T et al. Unusal findings in inguinal hernia surgery: report of 6 rare cases. Hippokratia. 2009;13(3):169-71.
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