TO EVALUATE THE EFFICACY OF BIPEDICLED STRIP OF EXTERNAL OBLIQUE APONEUROSIS FOR AUGMENTATION OF POSTERIOR WALL OF INGUINAL CANAL IN INGUINAL HERNIA REPAIR.
Journal Title: IJSR-International Journal Of Scientific Research - Year 2019, Vol 8, Issue 4
Abstract
In Homo sapiens and other mammalian quadrupeds, there is an absence of posterior rectus sheath below the arcuate line and insubstantial transversalis fascia in groin. This anatomical arrangement presents no particular functional, anatomic difculty for quadrupeds as their inguinal canal is directed uphill during ambulation and therefore is not subjected to signicant gravitational stress. Aims and objectives: To evaluate the efcacy of bipedicled strip of external oblique aponeurosis for augmentation of posterior wall of inguinal canal in inguinal hernia repair. Material and methods: This study was carried out on fty consecutive patients of inguinal hernia admitted in the Surgery Department of Guru Nanak Dev Hospital attached to Government Medical College, Amritsar. Conclusion :The present study was an attempt to evaluate the role of bipedicled strip of external oblique aponeurosis in augmentation of posterior wall of inguinal canal in inguinal hernia repair. Our ndings suggest that the bipedicled undetached strip of external oblique aponeurosis is as efcient as a synthetic mesh in inguinal hernia repair. This repair is also economically more benecial for poor patients who cannot afford to have mesh repair. Although the present study is small and follow up period is short but we still recommend this procedure as a good alternative to Modied Bassini's, Shouldice repair and mesh based repairs.
Authors and Affiliations
Dr Samir anand, Dr Naveed anjum qureshi, Dr Muthuraman S, Dr Money gupta
Keywords
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