Peer Mohamed, A B (2020) A Clinical study of Lichtensteins Tension - Free Prolene Mesh Hernioplasty in Cases of Inguinal Hernia in Tirunelveli Medical College Hospital. Masters thesis, Tirunelveli Medical College, Tirunelveli.
|
Text
220100820peer_mohamed.pdf Download (1MB) | Preview |
Abstract
INTRODUCTION: More than 500,000 hernias are diagnosed in India annually, making hernia repair one of the most common operations performed by a general surgeon. Despite the frequency of the procedure, no surgeon has ideal results, and complications such as postoperative pain, nerve injury, surgical site infection and recurrences remain. The surgery for inguinal hernia repair has evolved over centuries, the prolene mesh tension free repair introduced by irwing Lichtenstein caused a dramatic drop in the recurrence rate and became the procedure of choice. The modern era in hernia repair demands to be proficient in analysing outcomes of their own surgeries and in using statistics, he is expected to know exactly his own complication rate, infection rate and recurrence rate. Thus he can judge his operative skill in an unbiased manner. AIMS AND OBJECTIVES: To estimate the distribution of various etiological factors of inguinal herni, case distribution in relation to age, sex and type of hernia, distribution of early and late postoperative complications. METHADOLOGY: The present study included 213 patients presented with inguinal hernia and underwent lichtensteins tension free prolene mesh hernioplasty in various surgical units from December 2017 to July 2019 in department of general surgery in Tirunelveli Medical College and Hospital, Tirunelveli. The patients were followed up after 3 months from discharge. RESULTS: The most common age group affected were between the ages of 40 to 70 and the maximum incidence between the ages of 50 to 60 years. The male to female ratio was 22.6:1. The most common hernia noted was indirect with 132 out of 213 cases presenting as indirect inguinal hernia. There was no statistical significance in the side of presentation, as right side and left side presented nearly equally on both sides. The most common early complication observed was early post-operative pain, 11 patients (5.3 %) followed by urinary retention, 6 patients (2.8 %) and UTI, 2 patients (0.9%) and orchitis, 1 patients (0.45%). The most common late post-operative complication was chronic pain, 11 patients (6.4 %), followed by Seroma, 4 patients (2.3%), and surgical site infection, 1 patient (0.5%). There were no cases of chronic orchitis or recurrence CONCLUSION: ◈ There was no right or left preponderance as the incidence of right, left and bilateral hernias were nearly equal. ◈ The total incidence of all early and late post-operative complications were lesser than the previous studies. ◈ The incidence of UTI was found to be higher than other studies, this can be effectively prevented by adhering to strict asepsis during catheterization. ◈ The incidence of early postoperative pain was higher when compared to previous studies, this can effectively be reduced by better postoperative analgesics. Other early and late postoperative complications were similar to previous studies.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | 221711364 |
| Uncontrolled Keywords: | Inguinal hernia, lichtensteins repair, Early postoperative complications of hernia repair, Late postoperative complications of hernia repair. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 11 Feb 2021 02:18 |
| Last Modified: | 11 Feb 2021 02:18 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14042 |
Actions (login required)
 |
View Item |
