External Oblique Hernioplasty An Early Experience In Tertiary Care Unit

• ORIGINAL ARTICLE | ISSUE DETAILS: VOL NO.2 | ISSUE NO. 1

Abstract

Background: The most frequent general surgical operation is the correction of an inguinal hernia. The most often used method for open inguinal hernia surgery is Lichtenstein tension-free repair. The gold standard for inguinal hernia repair is the endoscopic surgery known as TEP, TAPP, and Lichtenstein repair. The posterior wall of the inguinal canal is strengthened via external oblique hernioplasty, which uses the Apo neurosis of the external oblique muscle. The study’s objectives were to document the problems of the novel procedure and evaluate the outcomes against gold standard practices.

Objectives: To evaluate the viability and effectiveness of external oblique hernioplasty compared to conventional inguinal hernia repair techniques. It also attempts to compare the results of this new operation with well-established methods like TEP, TAPP, and Lichtenstein procedures, concentrating on recovery timeframes, long-term success rates, and postoperative discomfort.

Study design: A descriptive study

Duration and place of study: MMC Mardan from June 2015 till June 2016

Materials and Methods: The descriptive research design was used, and it took place at MMC Mardan between June 2015 and June 2016. An informed consent was obtained about the surgery. Following studies, the patient’s circumstances were optimized before surgery. The trial covered all individuals who were deemed suitable for general anaesthesia. A single surgeon operated on each patient, and any postoperative problems were noted. Every patient was monitored for one month.

Results: All 57 patients who had surgery for inguinal hernias were men. Urinary retention affected 14% of patients in the first postoperative week. 7% of patients reported having SSI, while 14% of patients reported having chronic discomfort. Discussion: The best option is still mesh repair. A deeper comprehension of the issue has led to an improvement in failure rates. Male patients are often affected by inguinal hernias. There have been conflicting reports on urinary retention and discomfort during the first postoperative week. In mesh repairs, seromas are more frequent. The rates of scrotal oedema were higher than those of mesh repairs.

Conclusion: Regarding the immediate postoperative period, the procedure’s outcomes are similar to mesh repairs. Long-term issues such as recurrence are anticipated.