Incidence of inguinal hernia and its type in a study in a semiurban area in Andhra Pradesh, India

Rahul, B; Ravindranath, G. G.

doi:10.18203/2349-2902.isj20163184

Cited by 7 publications

(6 citation statements)

References 6 publications

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“…Inguinal hernia can occur in both sexes, but it primarily affects men (8). In the present study 313 patients out of 355 were (88.2%) men and 42 (11.8%) were women.…”

Section: Discussionmentioning

confidence: 44%

Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study

Bilgiç

2019

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi

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Aim: The aim of this retrospective study was to evaluate of 335 inguinal hernia repair by Lichtenstein technique in elective inguinal hernia management. Materyal and Methods: Three hundred fifty-five patients who administered to the General Surgery Clinic between Jan 2004 and Jan 2006 underwent inguinal hernia repair with the "Lichtenstein-tensionfree" surgery technique were retrospectively evaluated in respect to demographics, recurrence and postoperative complications. Follow-up data were obtained from hospital charts, recurrence and late complications were evaluated in telephone interview. Results: 313 patients out of 355 were (88.2%) men and 42 (11.8%) were women. The mean age was 54 years (ranged 21-76 years). The hernia was on the right side in 241 patients (67.9%) and on the left side in 91patients (25.6%). 194 of 355 (54.7%) patients have indirect hernia. The postoperative mean hospital stay was 1.1 days (range 1-3 days). The most common postoperative early complication was urinary retantion. The late period complications including chronic pain in 3 patients (0.8 %), testicular atrophy in 2 patients (0.5 %), and recurrence in 4 patients (1.1%). Conclusion: this study shown that Lichtenstein technique for inguinal hernia repair is a safe and feasible surgery method in respect to 1.1% recurrence and 22.6% overall post-operative complication rate.

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“…Inguinal hernia can occur in both sexes, but it primarily affects men (8). In the present study 313 patients out of 355 were (88.2%) men and 42 (11.8%) were women.…”

Section: Discussionmentioning

confidence: 44%

Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study

Bilgiç

2019

Adıyaman Üniversitesi Sağlık Bilimleri Dergisi

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“…In a study by Rahul et. Al 10 , the maximum number of a patient were from laborer class related to strenuous physical activity from south India.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Clinical Study to Evaluate Recurrence and Infection in Laparoscopic Hernia in a Tribal Area

2020

IJFMT

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Background: Safe surgical service is mostly inaccessible to most of the poor tribal population of the Gadchiroli district of Maharashtra. Temporary multidisciplinary surgery camps can be the answer, but its safety and cost-effectiveness were always questioned.Method: This is a prospective interventional study included 172 laparoscopic ally operated cases of inguinal hernia at Hemalkasa camp from 2015 up to 2020. Along with a study of clinical parameters like demography, infection and recurrence were evaluated.Results: Most of cases in an age group of 20-40 years and belong to the male gender with a presentation as indirect inguinal hernia. The right side was outnumbered than left. Mesh was not fixed and a single dose of antibiotic prophylaxis was administered. A promising zero infection rate was observed with recurrence was only in 4(2.3%) cases. Most of the patients were operated by the TEP method. Clinical presentation was reducible swelling in groin in maximum patients. The average operative time was 60 minutes. There were no intraoperative (neurovascular, visceral) and any post-operative complications. 4 days early return to work time was noted with very high acceptability laparoscopic surgery in tribals was observed.Conclusions: Laparoscopic hernia repair in tibal people in multi diagnostic camps is found to have acceptable and good results. It is a safe as having zero infection and minimal recurrence rate. This procedure is also having less postoperative pain and discomfort, cosmetically good with early return.

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“…Body mass index (BMI) is a recognised means of comparing the weight and height of an individual serving as standard anthropometric tools [1]. Inguinal hernias (IH) account for three-quarters of anterior abdominal wall herniations [2,3] with their operative management evolving alongside surgery as a speciality [4]. Males are nine times more likely to develop a hernia in their lifetime, incidence also increases with age amongst adults [5,6].…”

Section: Introductionmentioning

confidence: 99%

The Impact of Body Mass Index on Local Anaesthetic Inguinal Hernia Repair

Olugbemi¹,

Athisayaraj²,

Lorejo³

et al. 2023

Cureus

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Background: Open mesh repair of inguinal hernia is acceptable and can be performed under local anaesthesia (LA). Individuals with high BMI (Body Mass Index) have often been excluded from LA repairs for varying reasons including safety concerns. Open repair of unilateral inguinal hernia (UIH) amongst individuals with different BMI groups was studied. Its safety profile was investigated using LA volume and length of operation (LO) as endpoints. Operative pain and patient satisfaction were also evaluated.Patients and methods: A total of 438 adult patients were studied having excluded underweight patients, those requiring any additional intra-operative analgesia, multiple procedures, or records with incomplete data. Operative pain, patient satisfaction, LO and LA volume were retrospectively studied from the existing data from clinical and operative notes.Results: It was a predominantly male population (93.2% males) with an age range of 17-94 years peaking in the 60-69 years age group. BMI ranged 19-39 kg/m 2 with BMI above normal at 62.8%. LO was 13-100 minutes (average 37 mins {SD = 12}) utilising an average LA volume of 45 ml (SD = 11) per patient. Across BMI groups, no significant difference in LO (P = 0.168) or patient satisfaction (P = 0.388) was seen. Although LA volume (P = 0.011) and pain score (P<0.001) demonstrated statistically significant differences, these did not appear to be clinically relevant. Over 90% in each BMI group experienced mild or no pain and with severe pain reported in only one patient in the entire population. Overall, LA volume required per patient was low and dosage was safe in all BMI groups with significant proportion (89%) of patients evaluated for satisfaction rating their experience ≥ 90 out of 100.Conclusion: LA repair is safe and well tolerated irrespective of BMI. BMI is not a viable reason for exclusion of obese/overweight individuals from LA repair.

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Incidence of inguinal hernia and its type in a study in a semiurban area in Andhra Pradesh, India

Cited by 7 publications

References 6 publications

Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study

Evaluation of 335 inguinal hernia repair by Lichtenstein technique: a retrospective study

A Prospective Clinical Study to Evaluate Recurrence and Infection in Laparoscopic Hernia in a Tribal Area

The Impact of Body Mass Index on Local Anaesthetic Inguinal Hernia Repair

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