Journal of Cardiovascular Disease Research
A Prospective Study On Clinical Features And Surgical Management Of Hernia
Dr. Gaurav Kamboj, Dr. Jai Karan
JCDR. 2024: 1176-1183
Abstract
Background: Strangulated inguinal hernia occurs when part of the hernia becomes irreducible and subsequently causes bowel ischemia secondary to a reduction in blood flow to the hernia. Therefore, management strategy differs and depends on the presentation of the hernia, duration, patient, and surgical factors. One thing is for sure: conservative management is not recommended for a strangulated inguinal hernia, as it always requires surgical intervention. Among others are diagnostic laparoscopy, open hernioplasty with the hybrid technique, and laparotomy followed by inguinal herniorrhaphy. Eventually, the outcome of the surgery has to be considered while managing strangulated inguinal hernia cases. Materials and methods: This was a descriptive prospective study of patients who were operated for inguinal hernias at Tertiary care Teaching Center over a period of 1 year. All patients who presented to the surgical wards and clinics with a clinical diagnosis of inguinal hernias and subsequently underwent surgery were included in the study. Patients presenting with inguinal hernias associated with obstructive uropathy, chronic obstructive airway disease or chronic constipation and those who refused to give consent were excluded from the study.
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