TO DETERMINE THE INDIRECT INGUINAL HERNIA INCIDENCE AMONG MALES ABOVE 50YEARS OF AGE AND ITS MANAGEMENT

Aim: To determine the incidence of indirect inguinal hernia in men over 50 years of age and to evaluate the results of repair with prolene in primary indirect inguinal hernia in men over 50 years of age. Study Design: A prospective study. Place and Duration: In the Surgical Unit II of Jinnah Hospital Lahore for one year duration from April 2018 to April 2019. Material and methods: A total of 100 patients were operated on with primary inguinal hernia between 15 and 80 years of age. However, this study included primary patients with inguinal hernia with age from 51 to 80 years old. Direct inguinal hernia in this age group was excluded. All these patients underwent surgery and the results were evaluated. Results: Only 35 of 100 patients with inguinal hernia treated in the surgical ward were included. In our study, the incidence of indirect inguinal hernia was> 50 years> 34.57% and was quite high as expected. Thirty one patients (88.6%) had a reducible hernia. Four patients (11.42%) had an irreducible hernia at the outpatient clinic. Twenty eight (80%) patients had a hernia on the right and 7 (20%) had a hernia on the right. Superficial skin infection (SSI) was observed in one patient (2.85%). Hematoma was observed in one patient (2.85%). One patient (2.85%) had urinary retention. No recurrence was observed up to one year of follow-up. Conclusion: Repair of inguinal hernia with prolene is a safe and inexpensive method of repair. It has limited postoperative complications such as recurrence, pain and wound infection. Key words: indirect inguinal hernia, prolene, cover repair