A study of inguinalhernia repair of at tertiary health care center with respect to non-fixation orfixation of mesh inextra peritoneum
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 10, Issue 3
Abstract
Background: Hernia is derived from a latin word meaning “a rupture”. Abdominal wall hernias are frequently encountered in surgical practice accounting for 15% - 18% of all surgical procedures Aims and Objectives:To study Inguinal Hernia Repair of at tertiary health care center with respect to Non-fixation or Fixation of Mesh in Extra peritoneum. Methodology: This was a cross-sectional study carried at department of surgery during the one year period i.e. January 2017 to January 2018 in the patients with hernia. All the patients who given written and explained consent, who were not having immunocompromised disease were enrolled into study. During the one year period there were 70 patients hernia, out of these 35 were operated by Fixation of Mesh inExtra peritoneum(Group A) and 35 were operated by conventional method(Group B). The statistical analysis was done by Chi –square test, unpaired t-test, Z-test (Standard Error of difference between two proportions) was calculated by SPSS 19 version software.Result:In our study we have studied that The average Age in Group A was 42 ± 3.42 Years and Group B was 43 ± 2.98 comparable (P>0.05, df=68,t=1.67);the male and female sex ratio was 1.33 and 1.69was comparable (P>0.05, df=1, X2=0.23). Thepost operative pain at Day 1 was significantly higher in Group A was8 ± 3.45as compared to Group B was 6± 4.12 (t = 2.2019 ,df=68,p<0.03);Similarly significantAt day Day 6was 7 ± 4.56and 4 ± 2.34 (t=3.24,df=68,p<0.02) and at 1 month was 4 ± 3.92and2 ± 1.92 (t=4.56,df=68,p<0.01) . Conclusion:It can be concluded from our study that from our study thatHernia Repair byNon-fixation was superior as compared toFixation of Mesh inExtra peritoneum with respect to less post operative pain (VAS), less operative time, less no. days in hospital and less Urinary retention
Authors and Affiliations
Sanjay Prabu Warad, Shirish Maskepatil
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