OUTCOME OF DARN REPAIR WITH POLYPROPYLENE FOR PRIMARY INGUINAL HERNIA: AN EXPERIENCE OF 837 CASES
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Abstract
Objective: To determine the outcome of Darn repair for primary inguinal hernia in terms of postoperative complications and recurrence rate.
Methodology: We studied 837 patients having primary inguinal hernia. This descriptive study was conducted at Surgical Department Agency Headquarter Hospital Ghallanai at Mohmand Agency and District Headquarter Hospital, Kohat. Adult patients of both genders, who underwent standard open hernia repair with Prolene darn from June 2005 to June 2010, were included in the study. Out of 837 cases 712 were operated under spinal anesthesia, 08 under local anesthesia and 117 under general anesthesia. Patients were followed up at one week, one month, six month and one year postoperatively for any complication.Data was analyzed by using software SPSS-14.
Results: Out of 837 operated cases 820 (98.96%) were males and 17 (2.03%) were females with male to female ratio of 48:1. Age ranged from 21-88 with mean of 49+17.18 years. Indirect hernia, direct hernia and pantaloon hernia were seen in 623 (74.50%), 211 (25.20%) and 3(0. 30%) cases respectively. Twenty one (2.5 %) patients went into postoperative urinary retention. Postoperativewound infection occurred in 13 (1.55 %) and scrotal hematoma in 5 (0.60 %) cases. Out of 837 patients, 157 (18.76%) patients were lost to the follow up. Recurrence rate was 0.48 % (n=4). No mortality was found in this study.
Conclusion: Posterior wall strengthening with polypropylene darn in patients with primary inguinal hernia has excellent outcome and its results are comparable to any well reputed repair.
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