Patient Satisfaction Stratification in Inguinal Hernia Surgery Under Local Anesthesia –Experience of 650 Patients

2021 ◽  
Vol 15 (10) ◽  
pp. 2519-2520
Author(s):  
Balakh Sher Zaman ◽  
Ch M. Kamran ◽  
M. Faheem Anwer ◽  
Shahid Majeed ◽  
Adnan Faisal ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Inguinal Hernia ◽  
Local Anesthesia ◽  
Tertiary Care ◽  
Anesthesia Care ◽  
Indirect Inguinal Hernia ◽  
Hernia Surgery ◽  
Anesthetic Care ◽  
Female Ratio ◽  
Inguinal Hernia Surgery

Aim: To evaluate patient satisfaction undergoing inguinal hernia surgery under local anesthesia. Methods: The study was conducted in Jinnah hospital, Lahore from 2014 to 2019 including 650 clinically diagnosed patients with direct or indirect inguinal hernia with age ranging 20 to 60 years. All of these patients were operated in dedicated day care operation-theater of surgical department, where hernia surgeries under local anesthesia were done on daily basis 6 days a week. We assessed satisfaction in all patients undergoing inguinal hernia surgery with monitoring during anesthesia care known as iowa satisfaction with small anesthesia scale. Results: 80% of patients were between 20 to 45 years of age with male to female ratio 99: Right inguinal hernia patients were 55% and 45% with left inguinal hernia. In the proforma of 11 questionnaire, 96 % patients were found satisfied with the quality of anesthesia care with varying satisfactions ranging above 90 % regarding pain, feeling like throwing up, feeling relaxed as well as feeling hurt. Conclusion: Inguinal hernia surgery under local anesthesia is found profoundly satisfactory with regard to anesthetic care. Local anesthesia hernial surgery has satisfactory patient acceptability similar to those observed in a conventional regional/general anesthesia in tertiary care setup. Keywords: Inguinal hernia, local anaesthesia, satisfaction

scholarly journals Laparoscopic total extraperioneal mesh hernioplasty is a novel approach for inguinal hernia: our experience over 7 years

2019 ◽  
Vol 6 (11) ◽  
pp. 3982
Author(s):  
Dheer Singh Kalwaniya ◽  
Ranjith Mahadevan ◽  
Satya V. Arya ◽  
Jaspreet Singh Bajwa ◽  
Gowtham K. Gowda ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Mesh Repair ◽  
Wound Complications ◽  
Indirect Inguinal Hernia ◽  
Bilateral Inguinal Hernia ◽  
Hernia Surgery ◽  
Early Recovery ◽  
Inguinal Hernia Surgery ◽  
Laparoscopic Tep

Background: Inguinal hernia surgery is the most common performed surgery all over the world. Among them laparoscopic totally extra-peritoneal (TEP) mesh repair fulfils all the requirements with better clinical outcomes than other procedures.Methods: Data was collected from the inpatient and out-patient records of 60 patients who underwent laparoscopic TEP for unilateral or bilateral inguinal hernia in a single unit in the Department of General Surgery during May 2012-June 2019 including the two years of follow-up. 3D mesh was used for application and was fixed with tackers. Then patients were followed up in outpatient department after 1 week, 2 week, and 3 months, 6 months and yearly up to two years. In every visit post-operative pain (assessed by visual analogue scale), local wound complication (hematoma, seroma, wound infection) and recurrence were noted. The data was collected and evaluated and the results shown.Results: All patients were men, with average age of 36.5 years (range 32-58). On categorization 53 (88.3%) of them had unilateral inguinal hernia and 7 (11.6%) of them had bilateral inguinal hernia. Intra operatively 12 (20%) of them had direct inguinal hernia and 48 (80%) of them had indirect inguinal hernia. Haematoma was seen in 1 patients, surgical emphysema in 3, seroma in 5 and recurrence in 2 patients.Conclusions: Laparoscopic TEP mesh repair was effective and safe tool for hernia repair, in terms of lesser postoperative painless number of hospital days, early recovery and lesser wound complications. However recurrence rates are comparable with other methods of hernia repair.

scholarly journals The efficacy of antibiotic prophylaxis in preventing SSI (surgical site infection) in patients undergoing Lichenstein’s hernioplasty at our tertiary care centre

2017 ◽  
Vol 4 (6) ◽  
pp. 1922
Author(s):  
Gowri Sankar Alagarsamy ◽  
Rajavelu Ramasamy
Keyword(s):  
Inguinal Hernia ◽  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Tertiary Care ◽  
Site Infection ◽  
Care Centre ◽  
Inguinal Hernioplasty ◽  
Hernia Surgery ◽  
Tertiary Care Centre ◽  
Inguinal Hernia Surgery

Background: Inguinal hernia surgery is the commonest surgery performed worldwide. Lichtenstein tension free repair using polypropylene mesh is the gold standard procedure for inguinal hernioplasty. Wound infection is the most common complication encountered in inguinal hernia surgery. Antibiotic prophylaxis for open inguinal hernioplasty in minimizing wound infection has been a subject of debate since the beginning of mesh repair.Methods: This study is a randomized control trial (double blind study) designed to study the efficacy of antibiotic prophylaxis in preventing SSI (surgical site infection) in patients undergoing Lichenstein’s hernioplasty at our tertiary care centre.Results: The overall SSI incidence was found to be 12% in the study population. Among the placebo group, SSI was observed in 7 patients (14%). In the patients in whom antibiotic prophylaxis was administered, SSI was observed in 5 patients (10%).Conclusions: Antibiotic prophylaxis was associated with decreased incidence of wound infection when compared to control group, but the difference was not statistically significant. This study only gives a baseline data about the status of SSI associated with hernia repair in our tertiary care centre highlighting the need for further research in this field.

scholarly journals All in one meshplasty verses conventional open meshplasty in inguinal hernia in a tertiary care setup

2021 ◽  
Vol 8 (9) ◽  
pp. 2690
Author(s):  
Ajay Raja A. ◽  
Lakshmana R. ◽  
Saumitra Dube ◽  
Govinda Raju Chintada ◽  
Dhinesh K.
Keyword(s):  
Inguinal Hernia ◽  
Mesh Fixation ◽  
Tertiary Care ◽  
Hernia Surgery ◽  
Time Duration ◽  
Tension Free ◽  
Medical College ◽  
Inguinal Hernia Surgery ◽  
Mesh Hernioplasty

Background: Inguinal hernia surgery has continued to evolve historically from tissue repair to the present tension free repair by using mesh. Various tension free mesh repair have been demonstrated throughout the years after lichten stiens tension free meshplasty but inguinodynia continues to be a problem with all hernioplasties. All-in-one mesh hernioplasty showed zero incidence of inguinodynia in 50 patients who underwent this novel procedure.  The primary aim of the study was to compare between all in one meshplasty vs conventional open meshplasty in inguinal hernia in tertiary care setup.Methods: Our study was done in SRM Medical college and research center attached to SRM University in Kattankullathur, Chennai for one and half year. It was comparative study between all in one meshplasty verses conventional meshplasty. A sample size of 100 patients was the part of this study, out of which 50 underwent mesh fixation by all in one meshplasty and 50 patients underwent mesh fixation by conventional meshplasty.Results: All-in-one meshplasty can be considered superior to conventional meshplasty in view of incidence of post-op neuralgia, operative time, duration of stay in hospital.Conclusions: All-in-one meshplasty can be considered as a good replacement for conventional hernioplasty in inguinal hernia repair expecting lesser post-operative morbidity and a better quality of life post-operatively.

scholarly journals STUDY OF PATTERNS OF PRESENTATION AND MANAGEMENT OF COMPLICATED INGUINAL HERNIAS

2020 ◽  
pp. 1-2
Author(s):  
Sarita Durge ◽  
Mayur Bandawar
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Surgical Intervention ◽  
Age Distribution ◽  
Emergency Setting ◽  
Indirect Inguinal Hernia ◽  
Hernia Surgery ◽  
Inguinal Hernia Surgery ◽  
The Mean

Background There are a lot of advancement in techniques of elective inguinal hernia surgery, but progress for management of complicated inguinal hernia repair in emergency, fall behind. The aim of study was to know age distribution, pattern of presentation, to evaluate the outcome of various types of surgical procedure done for complicated inguinal hernia and their post-operative complications. Methods and Materials This retrospective study included 62 patients suffering from complicated inguinal hernia,and who underwent emergency surgery, from Jan-2016to Dec-2019. Results The mean of age of sampled patients was 53.88 + 14.23 years, with increased incidence in males.Right sided, indirect inguinal hernia was frequently involved.Commonest postoperative complication was wound infection.Tension free repair Lichenstein’s technique (Hernioplasty) was done in maximum cases. Conclusion Mesh repair (hernioplasty) is acceptable and safe option for inguinal hernia repair in emergency setting. Early hospitalization and timely surgical intervention are associated with better outcome.

scholarly journals A Comparative Study between Day Care and Routine Care Inguinal Hernia Mesh Repair

2021 ◽  
Vol 8 (6) ◽  
pp. 140-147
Author(s):  
Ashwani Kumar ◽  
Devadatta Poddar ◽  
C Raja Bhanu Kiran
Keyword(s):  
Patient Satisfaction ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Day Care ◽  
Tertiary Care ◽  
Routine Care ◽  
Care Group ◽  
Hernia Surgery ◽  
Day Care Surgery ◽  
Care Surgery

Inguinal hernia is one of the oldest diseases known to mankind. If not treated on time, patient may land up with complications. The basic principle of hernia surgery is tension free repair. There are no guidelines regarding an ideal surgery or anaesthesia to be used for inguinal hernia repair. Around 10-12% patient visiting outpatient clinic suffer from inguinal hernia and occupy a significant space in the operative list. Day care surgery in which the patient is discharged within 24 hours of surgery is gradually becoming the norm. A lot of centres are performing exclusive day care surgery with a good patient acceptance, thus reducing the burden on the hospital. In this study conducted on 68 patients in a public tertiary care centre, we have compared day care versus routine care inguinal hernia surgery with 34 patients in each group. Lichtenstein hernia repair was done for all patients. The procedure was done under local anaesthesia for the day care surgery group whereas local/spinal/general anaesthesia was used for routine care group. Patients were admitted and discharged on the same day in day care group while patients in routine care group were admitted and discharged as per and norms of in-patient care. The feasibility of the procedure, recovery time, readmission for surgery related complications, and patient satisfaction was compared among the two groups. We concluded that day care surgery is a feasible option, with early recovery, short stay, early ambulation, minimal complications, and significant patient satisfaction. Day care procedures have an edge over routine care public tertiary care hospitals. Keywords: Inguinal hernia, day care surgery, Lichtenstein repair.

New Four-fold Technique to Spread the Self-Gripping Mesh in Open Inguinal Hernia Surgery

2021 ◽  
Author(s):  
Arun Kumar Gupta ◽  
Aman Raj ◽  
Devadatta Poddar ◽  
Lalit Kumar Bansal ◽  
Peeyush Kumar ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
The Self ◽  
Hernia Surgery ◽  
Inguinal Hernia Surgery

scholarly journals Postoperative condition of patients as a result of treatment of inguinal hernias by laparoscopic and open methods

2021 ◽  
pp. 30-35
Author(s):  
V.V. Skyba ◽  
◽  
A.V. Ivanko ◽  
N.V. Voytyuk ◽  
V.V. Lysytsia ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Surgical Treatment ◽  
Open Access ◽  
Hospital Stay ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Lower Percentage ◽  
Hernia Surgery ◽  
Inguinal Hernias ◽  
Inguinal Hernia Surgery

Purpose – to analyze condition of patients after surgical treatment of inguinal hernias by laparoscopic and open methods. Materials and methods. A retrospective review of medical histories and outpatient charts of all patients who underwent inguinal hernia surgery at the Kyiv City Clinical Hospital No. 1 from January 2018 to July 2020 was conducted. Results. During the above period of time in our hospital open hernioplasty was performed in 86 patients, laparoscopic hernioplasty – 138 patients. With open hernioplasty, the average duration of surgical treatment was 40±12 minutes. The laparoscopic technique was 35±12 minutes. The length of hospital stay was significantly longer in the group of patients with the open method (48±12 hours) than in the group of laparoscopic plastic surgery (12±3 hours). From the group of patients who underwent open hernioplasty, 62 patients complained of long-term pain syndrome, from the group of laparoscopy – 12 patients. The cosmetic appearance was dissatisfied with 34 patients in the open access group and only 2 patients in the laparoscopic plastic group. Postoperative complications were observed in 34 patients who underwent surgical treatment through open access, and in 15 patients – by laparoscopy. Conclusions. The laparoscopic approach of inguinal hernia surgery is superior to open access, as it reduces the length of hospital stay, postoperative recovery, improves the aesthetic effect of the operation, reduces the frequency of infection of incisions. According to the results of the study, this technique gives a better result in the early postoperative period, a lower percentage of chronic pain and a higher degree of patient satisfaction compared to open access with the same low recurrence rate. Therefore, in our opinion, laparoscopic access to hernioplasty is the optimal method of treatment and can be recommended as a method of choosing inguinal hernia surgery. Postoperative assessment of the quality of life of patients after treatment of inguinal hernia by laparoscopic and open methods. The research was carried out in accordance with the principles of the Helsinki declaration. The study protocol was approved by the Local ethics committee of all participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: inguinal hernia, laparoscopy, open access surgery, analysis of methods, operation.

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