Conservative treatment means living with the hernia, making lifestyle changes and watching for changes to the hernia. Lifestyle changes may include giving up smoking and avoiding heavy lifting, or wearing a special belt called a 'truss'. Hernia control has been reported in about 30% of patients. Complications associated with the use of a truss include testicular atrophy, ilioinguinal or femoral neuritis, and hernia incarceration. Patients with clinical evidence of inguinal hernia were admitted and were subjected to full history and examination, routine investigations like complete blood count, blood sugar level, serum creatinine, chest X-ray, ECG etc. Additional investigations like abdominal ultrasonography, CT scan of abdomen were done in cases with equivocal findings and suspected of other pathologies. Inclusion and exclusion criteria were defined and strictly adhered to in selecting the cases to be included in the study. Among the 30 cases that underwent open mesh repair, 3 cases required urethral catheterization for urinary retention, 3 cases suffered chronic pain, 2 cases had wound related complications and 1 had wound infection.
Ventral hernia refer to facial defects of the anterolateral abdominal wall through which intermittent or continuous protrusion of preperitoneal fat, intestinal contents, or rarely, an abdominal organ may occur, they are either congenital or acquired. It includes incisional hernias, paraumbilical hernias, umbilical hernia, epigastric hernias and spigelian hernias. Data was collected from Patients admitted with ventral hernia with the help of a proforma containing relevant history, clinical examination, appropriate investigations and surgical details. The study was carried out with ethical clearance by the institutional ethics committee and in conformity with the guidelines for medical research laid out by ICMR and Helsinki declaration. In our study we observed that the mean duration of surgery in open group was 75.8 +/-30.7 min and in laparoscopic group was 77.3 +/-22.4 min. Both the groups didn't differ with respect the duration of surgery. In our study we observed that mean duration of time taken to return to work (RTW) was 24.8+/-65 and 11.2+/-3.5 days in open and laparoscopic groups respectively. This observation was statistically significant with p value < 0.001.
Hernias are among the oldest surgical challenges which have confronted the surgical community. The word hernia is derived from the Greek word hernias which means a bud or an offshoot, a budding or a bulge. The study was carried out with ethical clearance by the institutional ethics committee and in conformity with the guidelines for medical research laid out by ICMR and Helsinki declaration.30 consecutive adult patients with age above 18 years who underwent laparoscopic and 30 consecutive adult patients with age above 18 years who underwent open mesh repair of ventral hernias in Department of Surgery. In the study who underwent open repair it was observed that, in open group 53.3% of subjects had paraumbilical hernia, 30% had umbilical hernia, 13.3% had incisional hernia and 3.3% had Epigastric hernia. In laparoscopic group 40% had Paraumbilical hernia, 30% had Umbilical hernia, 26.7% had Incisional hernia and 3.3% had Epigastric hernia. This observation was statistically not significant (p value -0.592).
Prevalence of inguinal hernia differs around the globe. It is likely to be caused by variations in population age structure, access to surgical care, and risk of death from hernia accident. The global mortality from inguinal hernia is significant, a more than 40,000 people die from hernia and its complications each year. Patients with clinical evidence of inguinal hernia were admitted and were subjected to full history and examination, routine investigations like complete blood count, blood sugar level, serum creatinine, chest Xray, ECG etc. 50% of the cases enrolled in this study presented with a swelling within a duration of 1 to 6 months of its onset. Around 23% came within 6 to 12 months and around 17% presented after 1 year of the onset of swelling. 71.67% of the total cases in the study were indirect inguinal hernias, whereas the remaining 28.33% were direct ones.
The primitiveness of the techniques of surgical repair of inguinal hernia which can be traced back to civilizations of ancient Egypt and Greece, were often worse than the disease itself. Considering these procedures were performed before the advent of the aseptic technique, it is safe to assume that mortality was quite high. For those that did survive the operation, recurrence of the hernia was commonplace. 60 cases of primary inguinal hernia were selected for the study. Permission of ethical committee and informed consent of each patient was taken. The minimum and maximum time taken to return to work in the open repair group were seen to be 14 and 22 days respectively with a mean of 17.37 and a SD of 2.59, whereas in the laparoscopic group the minimum was 3 days and maximum was 8 days, with a mean of 5.67 and a SD of 1.35 (p value was extremely significant at 2.57E -25 ).
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