scholarly journals INGUINAL HERNIA

2016 ◽  
Vol 23 (11) ◽  
pp. 1311-1318
Author(s):  
Agha Nadeem Ahmed Khan ◽  
Shafiq Ullah ◽  
Muhammad Farrukh Aftab ◽  
Khalid Hussain Qureshi
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Return To Work ◽  
Cost Effective ◽  
Descriptive Study ◽  
Laparoscopic Technique ◽  
Early Return ◽  
Routine Work ◽  
Study Setting ◽  
Surgical Unit

Objectives: To highlight an economical laparoscopic technique for rapidrecovery & early return to work especially for the 3rd world inguinal hernia patients. StudyDesign: Descriptive study. Setting: Surgical unit of Nishtar Hospital Multan. Period: 02 yearsi.e. from January 2014 to January 2016. Methods: There were 90 patients in the study. A prolenemesh of 15 x 15 cm used for the repair of inguinal hernia laparoscopiclly without the use ofspacer balloon & tacker (To make it cost effective). Results: Out of 90 patients only 3 patientsdevelop scrotal seroma. All the patients discharged on the 1st postoperative day & allowed toreturn to their normal routine work from the 3rd postoperative day onward. Conclusion: (e-TEP)without spacer balloon & tacker is an economical approach toward the inguinal hernia repair.

scholarly journals Effect of Early Return to Work After Laparoscopic Total Extraperitoneal Hernia Repair: a Retrospective Comparative Cohort Study

2021 ◽  
Author(s):  
Ting-En Tai ◽  
An-Chi Chou ◽  
Ching-Che Lin ◽  
Chih-Kuan Wu ◽  
Yao-Chou Tsai
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Return To Work ◽  
Recurrence Rate ◽  
Hernia Recurrence ◽  
Early Group ◽  
Early Return ◽  
Total Extraperitoneal ◽  
Late Group

Abstract BackgroundThis study compares the outcomes of early and late return to work after laparoscopic total extraperitoneal inguinal hernia repair (TEP).MethodsBetween March 2008 and December 2019, we reviewed 506 cases who underwent laparoendoscopic total extraperitoneal hernia repair (TEP). Of these, 231 cases, who returned to work within one week after surgery, were classified as the early group, and 275 cases, who had no job or returned to work after longer than one week, were classified as the late group. Primary endpoint is inguinal hernia recurrence. Secondary endpoints were post-operative chronic inguinal pain, which is defined as persistent pain 6 months after operation, seroma formation, and modified medical outcome study (MOS) score. Results The two groups had comparable baseline characteristics, except the early group were younger (51±13.1 vs. 58.2±15.9, p<0.001) and had less constipation risk before operation (10.0% vs. 18.5%, p=0.006). The early return to work group did not increase inguinal hernia recurrence rate (1.7% versus 2.9%, p=0.386). Furthermore, the early group is associated with significant less chronic pain (4.8% versus 11.6%, p=0.006). There is no difference in post-operative seroma formation or MOS scores between early and late group.Conclusion Patients who underwent laparoscopic TEP hernia repair and returned to work within one week did not show increased hernia recurrence rate or complications. Besides, early return to work was associated with significant less chronic pain. Early return to work after TEP repair is safe and feasible. Patients are encouraged to return to work earlier after TEP.

scholarly journals Lichtenstien repair of inguinal hernia under local anesthesia - day case surgery

2016 ◽  
Vol 11 (4) ◽  
Author(s):  
Zafar Ali Choudry ◽  
Sadaqat Ali Khan ◽  
Haroon Rafiul Islam ◽  
Tariq Siddique ◽  
Javed I Malik
Keyword(s):  
Inguinal Hernia ◽  
Return To Work ◽  
Recurrence Rate ◽  
Local Anesthesia ◽  
Cost Effective ◽  
Economic Loss ◽  
General Surgeon ◽  
Day Case ◽  
Early Return ◽  
Hernial Repair

This prospective study was carried on 250 patients to study the complication and recurrence rate associated with Lichtenstien repair of inguinal hernia in our clinical and socioeconomic settings. The cost effectiveness and return to work after surgery were the other outcome measures. Two hundred and fifty patients underwent mesh repair of inguinal hernia at two different centers over a period of two years. All the patients were operated under local anesthesia. A bolus dose of preoperative antibiotic was given intravenously. The patients were followed up for two years and their post operative course was assessed according to a prescribed proforma. The rate of minor complications was in the range of 11.8%. The recurrence rate was 1.2%.There was minimal pain and the procedure was cost effective in terms of operative cost and less economic loss due to early return to work. It is concluded that Lichtenstien repair as a day case is safe and effective procedure to be performed by a trained general surgeon under local anesthesia. The infection rate and the recurrence rate are low. The compliance and acceptability of the patient and ease of carrying out the procedure under local anesthesia by surgeon is acceptable. In our view this type of hernial repair is an appropriate method in district hospital and tehsial headquarter hospitals where provision of anaesthesia facilities are yet to be fully developed and hospitals cater a major hernial load due to elderly patients with background of farming professions being admitted. The patient can be sent home on same day after surgery.

Return to work after inguinal hernia repair

Surgery ◽  
2001 ◽  
Vol 129 (2) ◽  
pp. 128-135 ◽  
Author(s):  
Katherine R. Jones ◽  
Richard E. Burney ◽  
Melissa Peterson ◽  
Barbara Christy
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Return To Work ◽  
Inguinal Hernia Repair

scholarly journals Laparoscopic versus open mesh repair of unilateral inguinal hernia: a comparative study

2017 ◽  
Vol 4 (3) ◽  
pp. 921
Author(s):  
Sudarshan P. B. ◽  
Sundaravadanan B. S. ◽  
Kaarthik V. P. ◽  
Prabu Shankar S.
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Return To Work ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Group ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Unilateral Inguinal Hernia ◽  
Laparoscopic Inguinal Hernia ◽  
Post Operative Pain ◽  
Significant Difference

Background: Inguinal hernia repair is now one of the most commonly performed general surgical procedures in practice. Laparoscopic inguinal hernia repair was started in year 1999 and since then has gained popularity over the last 2 decades. The introduction of a laparoscopic technique has sparked a debate in the literature over the superiority of this method versus open repair. Even though for bilateral and recurrent inguinal hernias, laparoscopic approach is recommended, there is not enough literature to recommend its routine use in unilateral inguinal hernia repair.Methods: A randomised prospective study was conducted at a tertiary care teaching hospital, comparing both Laparoscopic inguinal hernia repair and lichensteins tension free mesh repair as treatment modalities for unilateral inguinal hernia. Total number of patients in the study group was 60. Patients who were willing for the study were selected for the open or laparoscopic procedure in a randomised way. Open procedure was done by 2 senior surgeons and laparoscopic procedure was performed by 2 other senior surgeons at associate professor designation. Various parameters like the complication rate, post-operative pain, post-operative stay and time to return to work were analysed.Results: Out of the 60 patients, 30 patients underwent open inguinal hernia repair and another 30 patients underwent Laparoscopic inguinal hernia repair. The mean age group was 46.73 in open surgery group and 42.10 in laparoscopic group. 23.3% of the patients in open hernioplasty developed seroma, hematoma in the post-operative period. Whereas 10% had seroma collection in laparoscopic group. No incidence of recurrence in both the groups. No significant difference in pain score between both the groups during immediate post-operative period on POD 0, however there was significant difference in pain score on POD 3 (mean pain in open group 4.13 and lap group 2.87) and POD 7(mean pain in open group 2.90 and lap group 1.23). Mean duration of stay in hospital for open hernioplasty was 7.8 days and for Laparoscopic hernioplasty was 3.07 days. Mean duration of return to work in open hernioplasty was 14.37 days and in laparoscopy group was 9.13 days.Conclusions: There are potential benefits for laparoscopic inguinal hernia repair over lichtenstein’s repair for unilateral inguinal hernias in terms of post-operative pain, hospital stay and early return to work.

Eikenella Corrodens Causing Necrotizing Fasciitis after an Elective Inguinal Hernia Repair in an Adult: A Case Report and Literature Review

2007 ◽  
Vol 73 (9) ◽  
pp. 876-879 ◽  
Author(s):  
Aaron T. Miller ◽  
John C. Byrn ◽  
Celia M. Divino ◽  
Kaare J. Weber
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Necrotizing Fasciitis ◽  
Inguinal Hernia Repair ◽  
Diagnostic Laparoscopy ◽  
Unusual Case ◽  
Cost Effective ◽  
Tissue Cultures ◽  
Necrotic Tissue ◽  
Eikenella Corrodens

We report an unusual case of necrotizing fasciitis in a 43-year-old man after elective inguinal hernia repair. The patient presented to the emergency department 9 days postoperatively with high fevers, tachycardia, and crepitus along his abdominal wall. He was treated with broad-spectrum antibiotics and underwent a diagnostic laparoscopy as well as a wide debridement of all necrotic tissue. Cultures grew out Eikenella corrodens, which, to our knowledge, has only been reported in one other case as a cause of necrotizing fasciitis. Patients can develop necrotizing fasciitis after elective, clean procedures and should be adequately resuscitated, undergo immediate surgical debridement, and receive antibiotics. Laparoscopy can be useful in determining if intraabdominal pathology is the cause of the infection and a wound vacuum-assisted device is a cost-effective way to decrease healing times.

A COMPARITIVE STUDY OF ONLAY – SUBLAY MESHPLASTY (PHS) vs. LICHTENSTEIN MESHPLASTY OF INGUINAL HERNIA

2021 ◽  
pp. 56-58
Author(s):  
Chenna Dharma Kishore Raja ◽  
Sreerama Raja
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Return To Work ◽  
Hospital Stay ◽  
Mesh Repair ◽  
Age Distribution ◽  
P Value ◽  
Tension Free ◽  
Duration Of Surgery ◽  
Type Of Surgery

Introduction: A Hernia is the protrusion of part of the abdominal contents beyond the abdominal wall's normal connes. In this study, an attempt is made to compare the results of two different modalities of hernia repair–Lichtenstein repair and repair of hernia with Polypropylene hernia system. Aim: The study aims to ascertain the Polypropylene hernia system's safety and benets for hernia repair against conventional Lichtenstein tension-free mesh repair technique. Materials and methods: The prospective clinical study comprises 30 patients presenting with inguinal hernia attending OPD and admitted to the General Surgery Department of King George Hospital, Visakhapatnam, during the study period of September 2018 to October 2020. Results: Age distribution between 10-90, most of the 50-70 age group (14 cases). Visual analog scale (VAS) score for PMR 4.55 ± 1.18 and LMR 6.06 1.27 (p-value <0.05). Wound infection for PMR 1 case and LMR 2 cases. Duration of surgery for PMR 65.40 ± 7.84 and LMR 51.33 ± 13.51 (p-value <0.05). Type of surgery and duration of hospital stay for PMR 4.93 ± 1.27 LMR 6.73 ± 2.12. Type of surgery and return to work for PMR 5.93 ± 1.27 and LMR 7.73 ± 2.12(p-value <0.05).Recurrence in PMR 0 % and LMR 6.67%. Conclusion: PHS repair is superior to Lichtenstein mesh repair about safe, tension-free method, shorter hospital Stay, early return to work, least recurrence rates, and a high subjective success rate and satisfaction rate.

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