Clinical study of preperitoneal mesh repair in bilateral and recurrent inguinal hernias

Nambirajan, S (2016) Clinical study of preperitoneal mesh repair in bilateral and recurrent inguinal hernias. Masters thesis, Tirunelveli Medical College, Tirunelveli.

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Abstract

BACKGROUND OF STUDY: Groin hernia is the one of most common performed surgery. There are many methods of hernia repair. Pre peritoneal mesh repair is one of innovative repair for bilateral and recurrent inguinal hernias. OBJECTIVES: To study the effectiveness of Pre peritoneal mesh repair for bilateral and recurrent inguinal hernia with respect to wound healing duration, duration of hospital stay, post-operative complication and recurrence rate. METHODS: All the materials for this study has been taken from 76 patients who got admitted to Tirunelveli Medical College hospital attached to Tamilnadu DR M G R Medical university, Chennai for the treatment of Groin hernia for one and half years. All the patients included in the study underwent surgical management for Groin hernia. No patient in the study group underwent conservative management. Patients underwent Preperitoneal mesh repair operative procedure for bilateral and recurrent inguinal hernias. RESULTS: In our study bilateral and recurrent inguinal hernias were more common in age groups of 51 to 70 yrs. 1. 98.68% of our patients were males and 1.31% were females. 2. Bilateral inguinal hernias were common in the study than recurrent hernias. 3. All patients were operated in spinal anesthesia. 4. Time taken for patients to get back to normal activity was 2-3 days. 5. Post operative pain was mild in our study. The post operative complication rate was minimal and during the brief follow up there were one recurrence. CONCLUSION: Open preperitoneal mesh repair with suprapubic pfannensteil incision has found to have short duration of surgery, less peri operative complication and cost effectiveness to the patient. Still surgeons experience and orientation required in the repair.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Groin hernia ; Preperitoneal mesh repair ; cost effective ; recurrence ; return to normal activity.
Subjects: MEDICAL > General Surgery
Depositing User: Subramani R
Date Deposited: 12 Oct 2017 00:59
Last Modified: 12 Oct 2017 00:59
URI: http://repository-tnmgrmu.ac.in/id/eprint/3544

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