External Oblique Hernioplasty An Early Experience In Tertiary Care Unit

Original Article

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.