Online ISSN: 2515-8260

Keywords : inguinal hernia


Rutkow–Robbins versus Gilbert Double Layer Graft Methods of hernia repair

Dr Devender Grover, Dr Irum Jawaid

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 393-397

Background:Inguinal hernias are common, and although the results of surgical repair
are often satisfactory, postoperative recovery may be slow, and the hernia may recur.
The present study compared Rutkow–Robbins and Gilbert Double Layer Graft
Methods of hernia repair.
Materials & Methods: 60 patients of inguinal hernia of both genders were divided into 2
groups of 30 each. Group I were treated with Rutkow–Robbins method and group II
with Gilbert double layer graft methods. Parameters such as VAS and complications
were compared
Results: There were 18 males and 12 females in group I and 11 males and19 females in
group II. Anesthesia used was local in 16 in group I and 10 in group II, general 6 in both
groups and spinal 8 in group I and 14 in group II. The mean hospitalization (days) was
2.24 in group I and 2.31 in group II and operation time (mins) was 26.2 in group I and
24.6 minutes in group II. The mean VAS was 1.91 and 2.14 at day 1, 0.84 and 1.21 at
day 7 and 0.09 and 0.27 at day 30 in group I and II respectively.
Conclusion: Both methods of inguinal hernia repair was comparable

VARIATION IN PRACTICE AND OUTCOMES AFTER INGUINAL HERNIA REPAIR

DR.OMRANESSAOBAID .

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 12070-12076

Background: Inguinal hernia repair has often been used as a showcase to illustrate practice variation in surgery. This study determined the degree of hospital variation in proportion of patients with an inguinal hernia undergoing operative repair and the effect of this variation on clinical outcomes.
Method: An unselected cohort of 223 patients who underwent laparoscopic totally extraperitoneal (TEP) inguinal hernia repair before March 2022 were included in this study, thus ensuring a minimum 5-year follow-up. Patient demographic data, clinical notes, operating notes and outpatient follow-up notes were studied. Patients were interviewed telephonically regarding hernia recurrence, chronic pain and technique preference if they had previously undergone an open repair. All data collected were recorded on an electronic spreadsheet.The primary outcome parameter was recurrence. The secondary outcome parameters were postoperative and long-term complications.
Results: This nationwide database study shows that practice variation in inguinal hernia repair is modest in the Babel province. Operation-rates vary by less than two-fold, and variation is stable over the years 2020-2022. A more thorough analysis illustrates that the type of hospital (academic, teaching, or private) is the most relevant factor contributing to the observed variation. An addition to previous reports on practice variation in hernia surgery is the present finding that adjusted rates in surgery in general hospitals are associated with the type of financial reimbursement for diagnosis and the percentage of self-employed staff. These non-clinical factors related to variation may not only contribute to practice variation in hernia surgery,
Conclusion :Hospital variation in inguinal hernia repair in the Al-hila city is modest, operation-rates vary by less than two-fold, and variation is stable over time. Hernia repair in hospitals with high adjusted rates of inguinal hernia repair are associated with improved outcomes.

Comparison of treatment outcomes of surgical repair in inguinal hernia with classic versus preperitoneal methods on reduction of postoperative complications

Dr. Apurva Agarwal, Dr. Santsevi Prasad, Dr. Sunil Kumar, Dr. Bhartendu Kumar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1408-1411

Background: The aim of the study is to compare the treatment outcomes of surgical repair in
inguinal hernia with classic versus preperitoneal methods on reduction of postoperative
complications.
Methods: The present study included 100 patients out of which 60 were males and 40 were
females. Both the techniques were explained to the patients.
Results: The rate of recurrence was 4 in the classic group and 3 in the preperitoneal group.
The frequency of postoperative pain was 12 in the classic group and 7 in the preperitoneal
group. This difference was significant according to Chi-Squared test
Conclusion: It can be concluded 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.

THE ROLE OF SINGLE DOSE ANTIBIOTIC PROPHYLAXIS DURING HERNIA SURGERY: A RANDOMIZED CONTROL TRIAL

Dr. Samir Anand, Dr. Vishal Mandial Dr. Prateek Thakur, Dr. MS Griwan

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1667-1671

Background: This prospective, randomised control experiment was conducted to determine the role of single-dose antibiotic prophylaxis after hernia surgery. This research also provides evidence for determining whether stringent aseptic precautions can reduce antibiotic use.
Materials and Methods: This study included 60 patients with inguinal hernias (direct or indirect) who were admitted to the surgical ward at the Pt. B.D. Sharma Post Graduate Institute of Medical Sciences in Rohtak. Prior to admission, each patient was given a thorough screening as well as a rigorous clinical evaluation that included Haemoglobin, Bleeding time, Clotting time, Urine complete examination, Blood urea, Blood sugar, Serum electrolytes, Chest X-ray and ECG.
Results: The average age of the presenters was 45.88 years old. The majority of the patients, sixteen (26.66 percent), were between the ages of 41 and 50. The youngest patient was an 18-year-old man, while the oldest was an 80-year-old man. Males made up 98.33% (n=59) of the cases, while females made up 1.66 percent (n=1). Lichtenstein's repair was performed in forty patients (66.66%) for indirect inguinal hernias, and Lichtenstein's repair was combined with posterior wall plication in eighteen patients (30%) for direct inguinal and Pantaloons' type hernias. Indirect inguinal hernias accounted for the most occurrences (40), with two having a sliding component.
Conclusion: There is substantial evidence in the international literature to support the claim that prophylactic antibiotic treatment does not reduce the incidence of wound infection. Given the findings of this study, it is possible to conclude that the variations in infection rates are not substantial, and that prophylactic antibiotics do not reduce the rate of SSI in mesh repair of inguinal hernias, and that routine use of prophylactic antibiotics is not indicated.

DARNING TECHNIQUE VERSUS MESH (LICHTENSTEIN PROCEDURE) for PRIMARY INGUINAL HERNIA REPAIR

Dr. Mahmood Shakor Mughir; Dr.Hazim Taha Ismael; Dr. Lateef Mohammed Shinawa

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 9, Pages 362-365

The present study was aimed to compare the complications percent in repair of mesh to tension
free repair of Darn. Methods: 127 patients from 20-66 years old, including 93 (73.2%) male and
34 (26.8%) females, reported for direct and indirect inguinal hernia with open
Mesh/Lichtenstein (58 patients) or Darning repair (69 patients) in Khanagin general hospital
and Jalawla general hospital from February 2017 to February 2020. The first point was to
compare hernia recurrence with two types of technique. Results: Complications of recurrence in
Lichtenstein repair were 1 patient (1.7%) with compared to darning repair which had a
recurrence of 3 patients (4.34%). also, 3 patients (4.34%) got seroma in the darning repair
technique while 2 patients (3.45%) in the mesh repair technique. Hematoma was appeared in 1
patient (1.45%) in darning repair group and nil in the mesh/Lichtenstein repair group. 2
patients (2.90%) treated by darning repair suffered from chronic pain while 1 patient (1.7%)
suffered from chronic pain in mesh/Lichtenstein repair group. Conclusion: mesh/Lichtenstein
repair is very promising in comparison to the other technique, darning repair, in complications
in hernia.