Manikandan, P (2013) A prospective study of inguinal hernia patients managed by three stitch hernioplasty. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
INTRODUCTION: Hernia is defined as an abnormal protrusion of a viscus or a part of the viscus through a normal or an abnormal opening in the walls of its containing cavity. Hernia may be spontaneous or acquired. The external abdominal hernia is the most common form of spontaneous hernia. The treatment options for hernia repair, is still controversial because hernias are polymorphous lesions and because of the choice of operations and the features of the patients are diverse. Recurrence rate in hernia surgery needs further evaluation. Hence the treatment option for hernia should be concerned with prevention of recurrence, prevention of infections and economic considerations. The purpose of this study is to report the observations made in the postoperative follow up of hernia repair by three stitch hernioplasty method in the department of General Surgery, Thanjavur medical college, over a period of 2 years. AIM OF THE STUDY: To analyse the following complications in inguinal hernia patients managed by three stitch hernioplasty: 1. Recurrence of inguinal hernia, 2. Chronic groin Pain, 3. Foreign body sinus, 4. Seroma, 5. Hematoma, 6. Wound infection. MATERIALS AND METHODS: Type of Study: Prospective study. Cases: 100 cases of inguinal hernia patients admitted at Thanjavur Medical College. Inclusion Criteria: 1. Indirect inguinal hernia, 2. Direct inguinal hernia, 3. Age 21 - 60 years, 4. Good muscle tone. Exclusion Criteria: 1. Recurrent hernia, 2. Sliding hernia, 3. Hypotonia, 4. Age more than 60 years, 5. Bladder outlet obstruction, 6. LRI / COPD, 7. Ischemic heart disease. Materials Used: Polypropylene prosthetic mesh. Period of Study: July 2010 to June 2012. Place: Department of General Surgery, Thanjavur Medical College & Hospital. Method of Study: 100 Inguinal Hernia patients admitted in Thanjavur Medical College & Hospital during the study period who satisfied the inclusion and exclusion criteria were included in the study. For all these patients, the usual Lichtenstein’s repair was not done, but a slightly modified procedure, three stitch hernioplasty was done after getting their consent. CONCLUSION: The incidence of long term complications of three stitch hernioplasty are comparable to that of other standard tension free open hernia repair as well other laparoscopic procedures. But the only limitation we have in our study is the duration. We still need to follow up the cases for a minimum 5 years period to get a standard and reliable result. Moreover the three stitch hernioplasty method is a simple method, easy for the beginners to adopt, has less foreign body reaction, less time consuming, causes less tissue trauma, and lesser chance for vascular injury.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | inguinal hernia patients ; three stitch hernioplasty ; prospective study. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Devi S |
| Date Deposited: | 07 Jun 2018 01:43 |
| Last Modified: | 07 Jun 2018 01:47 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8271 |
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