A study of series of cases of mesh hernioplasty for inguinal hernias

INTRODUCTION: A hernia is defined as an area of weakness or complete disruption of the fibromuscular tissues of the body wall. Structures arising from the cavity contained by the body wall can pass through, or herniate, through such a defect. While the definition is straightforward, the terminology is often misrepresented. It should be clear that hernia refers to the actual anatomic weakness or defect, and hernia contents describe those structures that pass through the defect. Hernias are among the oldest known afflictions of humankind, and surgical repair of the inguinal hernia is the most common general surgery procedure performed today. Despite the high incidence, the technical aspects of hernia repair continue to evolve. AIM OF THE STUDY: To Evaluate Clinically The Outcome Of Mesh Hernioplasty for Inguinal Hernias in Terms of Operation Time, Patient Comfort, Hospital Stay, Return to Work and Post Operative Complications -with special reference to surgery done by trainee surgeon. MATERIALS AND METHODS: This study includes 186 patients with inguinal hernias treated with mesh repair from August 2006 in TVMCH by both laparoscopic and open method done electively. PATIENTS SELECTION: Adults (above 18 yrs of age), both gender with inguinal hernia were included in the study. Patients presenting in emergency and those with age less than 18 years were excluded, as they did not undergo Mesh Hernioplasty. METHODOLOGY: Patients with symptoms like chronic cough and constipation, and those with conditions like anaemia,diabetes and hypertension were optimized before surgery. • Anaesthesia fitness was taken after necessary investigations. • Pre operative antibiotics given in the form of Inj.Ampicillin 1 gm IV at the time of induction of anaesthesia. • Patients were mostly operated under Regional (Spinal) anaesthesia. • Data was collected on a pre-designed proforma. • Out patient follow-up was done for 6 months as a minimum and a maximum of 30 months. CONCLUSION: MESH Hernioplasty is an internationally proven safe technique. • In our local setup it has been proved effective with low complication and recurrence rates. • It is a procedure which is easily learnt by the trainee surgeons. • Our recurrence rate is comparable equally with that of sophisticated hernia centres abroad