Indirect Inguinal Hernia Management: Darn Repair for Recurrence Rate

Abstract

Objective: Aim of current is to determine the efficacy of darn repair technique in the management of indirect inguinal hernia in terms of complications and recurrence rate among patients. Study Design: Prospective study Place and Duration: The study was conducted at Surgery department of Combined Military Hospital, Sargodha and DHQ Hospital, KharBajaur during the period from January 2021 to June 2021. Methods: There were sixty males who had indirect inguinal hernia included in this study. Included patients had age between 18-80 years. After receiving informed written agreement, the demographics of enrolled patients were recorded, including age, BMI, and side of hernia. All the patients were treated with darning method. Post-operative complications, hospital stay and recurrence rate among patients were assessed. We used the SPSS 24.0 version to analyze all data. Results: Among 60 cases, 10 (16.7%) were aged between 18-30 years, 12 (20%) patients were from age group 31-40 years and most of the patients 38 (63.3%) had age >40 years. We found most of the cases had right side hernia 34 (56.7%), 20 (33.3%) cases had left and bilateral cases were 6 (10%). Majority of the cases had reducible hernia 48 (80%) and emergency treatment was given to irreducible cases 12 (20%). General anesthesia was mostly used among 44 (73.3%) cases. The mean operative time was 55.3±9.43 minutes and mean hospitalization was 30.3±7.33 hours. We found recurrence rate only among 2 (3.3%) cases and frequency of complications were 8 (13.3%). Conclusion: We concluded in this study that darning method for the management of indirect inguinal hernia is effective and useful in terms of less post-operative complications and recurrence rate. Keywords: Inguinal Hernia, Darn Method, Anesthesia, Complications, Recurrence Rate