Suresh Babu, C (2020) A Study on Clinical Outcome in Preservation Versus Elective Division of Ilioinguinal Nerve in Open Mesh Repair of Inguinal Hernia. Masters thesis, Chengalpattu Medical College and Hospital, Chengalpattu.
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Abstract
BACKGROUND: Chronic post herniorrhapy groin pain is defined as pain lasting for more than 6 months after surgery. Majority of chronic pain as been attributed to ilioinguinal nerve entrapment. The purpose of current study is to evaluate the effect of routine ilioinguinal nerve excision on chronic groin pain and other sensory symptoms when performing inguinal hernia repair. OBJECTIVES: To evaluate the effect of preservation versus elective division of the ilioinguinal on chronic post herniorrhapy groin pain, hypoesthesia and numbness after inguinal hernia repair using a polypropylene mesh. MATERIALS AND METHODS: Source of data: Study is a prospective type which includes all patients admitted in Chengalpattu Medical College for Uncomplicated Inguinal Hernia Repair. Method of collection of data (including sampling procedure): Definition of a study subject: Patients admitted to Department of Surgery, Chengalpattu Medical College for Uncomplicated Inguinal Hernia. The method of study consists of: Detail history taking & clinical examination as per the proforma. Investigations after taking written informed consent. Patients will be explained about types of surgeries available. Intraoperatively careful note will be made about. Time latent for the procedure. Documentation of any complication encountered during procedure. Post operative period will be divide into immediate post operative day-1(POD-1), 1month and 3 months following surgery and the following data will be collected. Post operative hospital stay. Any complication if occurred. Patients will be followed regularly up to 3 months. Note will made of any complications, time taken to return to work and patients satisfaction Inclusion criteria: subjects admitted with uncomplicated inguinal hernia (direct and indirect). both sex included. above 18 years who can give valid informed consent. Exclusion Criteria: subjects with diabetes mellitus. subject with recurrent hernias. previous surgery in inguinal region. mesh allergy and subsequent hernia repair in the observation period. previous history of trauma and pain in inguinal region. The following investigations will be done after taking written informed consent- Routine Investigations for General Surgical Procedure. Blood Investigation and Urine Investigations : Hb%, TC, DC, Peripheral smear, ESR, Renal function tests, Liver function tests, Lipid profile, FBS/PPBS, HIV, HBsAg, Urine for albumin, sugars, ketone bodies, microscopy, BT CT, wound site pus c/s, blood c/s, local parts xray, Other investigations, X-ray of the chest. CONCLUSION: The above study is to evaluate the “CLINICAL OUTCOME IN PRESERVATION VERSUS ELECTIVE DIVISION OF ILIOINGUINAL NERVE IN OPEN MESH REPAIR OF INGUINAL HERNIA” in Chengalpattu Medical College Hospital during the period March 2018 to March 2019.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711264 |
| Uncontrolled Keywords: | Preservation, Elective Division, Ilioinguinal Nerve, Open Mesh Repair, Inguinal Hernia. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 17:38 |
| Last Modified: | 10 Feb 2021 17:38 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14010 |
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