scholarly journals Prolene Hernia System in Groin Hernia Repair- Our Experience in a Tertiary Care Hospital

2018 ◽  
Vol 6 (6) ◽  
Author(s):  
Dr Manzoor Ahmad ◽  
Keyword(s):  
Hernia Repair ◽  
Groin Hernia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Groin Hernia Repair ◽  
Prolene Hernia System

Laparoscopic repair of inguinal hernia: Prospective evaluation at a tertiary care center

2020 ◽  
Vol 23 (2) ◽  
pp. 54-58
Author(s):  
ABM Mahbubur Rahman ◽  
Tamjeed Alam ◽  
AHM Shamsul Alam ◽  
Fahim Ferdaus ◽  
Gazi Gias Uddin
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Groin Hernia ◽  
Tertiary Care ◽  
Groin Hernia Repair ◽  
Groin Hernias ◽  
Laparoscopic Groin Hernia Repair ◽  
Repair Techniques

Background: Treatment of groin hernias continues to evolve. The emergence of laparoscopic inguinal hernia surgery has challenged the conventional gold standard Lichtenstein’s tension free mesh repair. Laparoscopic technique to achieve surgical correction over groin hernia is increasingly being practiced in our country, and it is imperative to test the overall outcome of this technique in a tertiary care setting. Objectives: Current study was aimed at evaluating the per-operative events, early and late outcomes of laparoscopic groin hernia repair techniques. End points of evaluation were postoperative pain, hospital stay, resumption of normal activities, chronic pain and recurrence. Methods: Within a 2-year period, 45 patients of groin hernias of different clinical types underwent laparoscopic inguinal hernia repair in Bangladesh Medical College Hospital were recruited in this prospective observational study. Preoperative findings, intraoperative course, postoperative and follow-up data were analyzed to evaluate the outcomes. Observations were made regarding operating time, operative hazards, postoperative pain, incidence of early post-operative morbidities, hospital stay, resumption of activities. Total 24 months follow-up was carried out with regards to normal activity, late complications notably chronic groin pain and recurrence. Results: The mean age of 38.1±11.1 years, 27(60%) patients underwent TEP repair whereas, TAPP procedure was carried out in 18 patients (40%). For unilateral hernia repair using TEP technique, mean operative time was 50.3±4.2 mints and 61.7±5.3 mints for direct and indirect variety (D/I), with the corresponding rates for TAPP repair being 65.0±2.2 mints and 72.8±3.2 mints (D/I) respectively. Conversion rate to other operative procedure was 6.67%. The overall surgery related early post-operative morbidity was 7.4% (TEP) and 16.8% (TAPP). 3 out of 45 patients (6.67%) experienced chronic pain in the groin in the study. However, there was no single incidence of recurrence observed during the follow up period. Conclusion: Laparoscopic groin hernia repair techniques are safe and feasible, offers the benefits of minimally invasive surgery and becoming the procedure of choice specially for bilateral and recurrent inguinal hernias. Journal of Surgical Sciences (2019) Vol. 23(2): 54-58

scholarly journals Epidemiological Profile and Clinical Experience of Abdominal Wall Hernia in Tertiary Care Hospital, Pakistan

2021 ◽  
Vol 15 (9) ◽  
pp. 2854-2857
Author(s):  
Umar Rehman ◽  
Wardah Mumtaz ◽  
Fazal-E- Nauman ◽  
Zahid Saeed ◽  
Arshid Mahmood
Keyword(s):  
Risk Factors ◽  
Abdominal Wall ◽  
Chronic Cough ◽  
Chronic Constipation ◽  
Groin Hernia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Abdominal Wall Hernia ◽  
Care Hospital ◽  
Epidemiological Profile

Background and Aim: Abdominal wall hernia is a communal surgical intervention complication with groin hernia being the most commonly presented hernia around the world. Delay in addressing these complications may cause morbidity and mortality. Hernias can be repaired using a variety of surgical techniques. The purpose of the current study was to assess the epidemiological profile and clinical experience of abdominal wall hernia in tertiary care hospital, Pakistan. Materials and Methods: This epidemiological prospective study was conducted on 226 patients with abdominal wall hernia at HBS General Hospital, Islamabad for period of one year i.e from July 2020 June 2021. All the hernia patients admitted to the surgery department for abdominal wall hernias during the study period were examined. The relevant details of each individual were gathered from hospital medical and clinical records and noted in pre-designed proforma. Epidemiological and clinical profiles were tabulated and analyzed. Results: The overall mean age of patients was 44.6± 5.6 with age ranges from 16 years to 72 years. Out of all the operated hernia patients, about 174 (77%) were male and 52 (23%) were female. The male to female ratio was 3.34:1. Of the total 226 abdominal wall hernia patients, 202 (89.4%) patients were operated on. The prevalence of emergency-based operated hernia patients was 40 (19.8%). The most common operated abdominal wall hernia was groin hernia in 162 (80.4%) followed by umbilical, epigastric, paraumbilical, and rarer hernia with respective prevalence 20 (9.9%), 8 (3.9%), 10 (4.9%), and 2 (0.9%). Ascites, prostatic problems, chronic cough, previous surgeries, chronic constipation, and obesity were the different predisposing factors. The prevalence of predisposing factors were ascites in 3 (1.3%), prostatic problems 46 (20.4%), chronic cough 113 (50%), previous surgeries 20 (8.8%), chronic constipation 41 (18.4%), and obesity 3 (1.3%). Conclusion: Our study found that the male population is more susceptible to abdominal wall hernia compared to the female population. Low socioeconomic status with major risk factors such as constipation, old age, lifting heavy objects, smoking, surgery phobia, homeopathy medicine treatment were the main factors for increased rate of morbidity and mortality. Keywords: Abdominal wall hernia; epidemiology; risk factors

scholarly journals Comparative study of patient reported rates of chronic pain with the use of heavy weight and light weight mesh in open hernia repair in a tertiary care hospital

2018 ◽  
Vol 5 (11) ◽  
pp. 3617
Author(s):  
Madhu B. S. ◽  
Lokesh M. G. ◽  
Avinash S. R.
Keyword(s):  
Hernia Repair ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Lightweight Mesh ◽  
Care Hospital ◽  
Moderate Pain ◽  
Significant Difference ◽  
Heavyweight Mesh ◽  
The Mean ◽  
Open Hernia Repair

Background: Hernia repair one of the most common operations performed by general surgeons. Mesh repair is the gold standard for these repairs, the rates of postoperative chronic pain associated with these meshes are still unclear. The aim of the study is to compare the post-operative persisting pain after 3 months in open hernia repair with light weight and heavyweight mesh.Methods: A randomized control study was conducted in a tertiary care hospital with sample size of 80. lightweight and heavyweight mesh were used after randomization with equal participants in each group. Postoperative pain was analysed 1 week, 2 week and 3 months after surgery using visual analogue scale.Results: The study was conducted on a total of 80 participants. The mean age was 53(±16) and 46(±19) in those who received heavyweight mesh and lightweight mesh respectively. Majority of them 73(91.2%) were males and only 7 (8.8%) of them were females. Out of 80 participants, number of participants operated with lightweight mesh and heavyweight mesh was equal (1:1). At three months follow up, only mild and moderate pain was reported with both the groups. Among patients treated with heavy weight meshes 14 patients (35%) reported moderate pain with 26 patients (65%) reported mild pain. Among patients treated with lightweight mesh reported only 4 patients (10%) reported moderate pain with 36 patients (90%) reported only mild pain. There was significant difference in the mean of VAS score between the groups and there was significant difference between the type of mesh used and pain after 3 months (P<0.01).Conclusions: Partially absorbable lightweight mesh can be used for open inguinal hernia repair with significantly less chronic postoperative pain with improved quality of life and functional outcome.

A COMPARATIVE CROSS- SECTIONAL STUDY BETWEEN THE USE OF VERTICAL AND HORIZONTAL SKIN INCISIONS DURING UMBILICAL AND PARAUMBILICAL HERNIA REPAIR IN A TERTIARY CARE HOSPITAL

2021 ◽  
pp. 26-27
Author(s):  
P. Surendhar ◽  
R. Rani Suganya ◽  
P. Anitha
Keyword(s):  
Hernia Repair ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Skin Incision ◽  
Basic Rule ◽  
Care Hospital ◽  
Cross Sectional ◽  
Operative Morbidity ◽  
Paraumbilical Hernia

One of the most underrated aspects of surgical procedure is the very placement of skin incisions. Several factors inuence the post-operative morbidity, outcome and satisfaction of a patient. One such being the very placement of a skin incision by the surgeon. Even though the trend nowadays is to opt for laparoscopic and mini-incision surgery, the rst and basic rule in surgery is to have an incision that will be comfortable for the surgeon and provide adequate access to the area of pathology. The purpose of this study is to compare vertical and horizontal skin incisions during umbilical and paraumbilical hernia repair that makes the surgical technique and post-operative outcome much more favorable. In this study, we compare the intraoperative difculty, post operative wound healing and morbidity between these two techniques.

Confidence toward vaccination as reported by parents of children admitted to a tertiary care hospital in Riyadh, Saudi Arabia: A cross sectional study

Vacunas ◽  
2020 ◽  
Vol 21 (2) ◽  
pp. 95-104 ◽  
Author(s):  
Y.M. AlGoraini ◽  
N.N. AlDujayn ◽  
M.A. AlRasheed ◽  
Y.E. Bashawri ◽  
S.S. Alsubaie ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional
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