ABSTRACT
Objective: The objective of study is to determine the feasibility, safety and effectiveness of Lichtenstein technique the tension free mesh repair of inguinal hernias and also to record the early and late postoperative complications of hernioplasty
Study Design: Prospective study
Place and Duration of Study: This study was carried out at the Department of Surgery, Unit-I Glulam Muhammad Maher Medical College Teaching Hospital, Sukkur from May 2009 to April 2012
Materials and Methods: Total 210 male patients with inguinal hernias admitted through OPD as an elective cases were included in this study .Exclusion criteria was patients with obstructed inguinal hernia came in emergency department. Clinically 20% patients had bilateral and 80 % had one sided inguinal hernias. Mean age of the patient was 45 years [range, 18- 70 years] .189 patients [ 90%] were operated under spinal anesthesia while remaining 21 patients [10%] under general anesthesia .All patients were follow-up for the period of 2 years in the out -patient department
Results: The present study showed the early and late postoperative complications [morbidity = 8%] such as retention of urine in 4 patients [2%], Hematoma in 3 patients [1.5%], seroma formation in 2 patients [ 1 %], Cord induration in 3 patients [1.5 %] and postoperative neuralgia in 4 patients [ 2%]. After a follow-up for 2 years, there was no evidence of recurrence or mesh rejection
Conclusion: This study showed that Lichtenstein tension- free hernioplasty is a simple, feasible and safe technique for repair of inguinal hernias with a low recurrence rate and low morbidity
ABSTRACT
Appendicectomy for acute appendicitis is one of the most commonly performed surgical procedures. Acute appendicitis has remained a clinical entity and an ongoing diagnostic challenge. A retrospective study was performed to determine histological diagnosis, demographic data, the rate of perforated appendicitis and negative appendicectomies. Histopathological records of 480 resected appendices submitted to histopathology department at Arar Central Hospital in the Northern Border Province of Saudi Arabia over the period of 3 years from July 2011 to June 2014 were reviewed retrospectively, to determine acute appendicitis, complication [gangrene, perforation] rate, negative appendicectomy rate, histopathological diagnosis and unusual finding on histology. Out of 480 specimens of appendix, appendicitis accounted for 466 [97.0%] with peak occurrence in the age group of 11 to 50 years in male and 11 to 40 years in female. Histopathological diagnosis include acute appendicitis 250 [52.0%], suppurative appendicitis 135 [28.0%] acute gangrenous appendicitis 60 [12.5%], perforated appendicitis 9 [2.0%], chronic appendicitis 12 [2.5%]. Negative appendicectomy rate was 14 [3%] and two time more common in female with peak occurrence in the age group of 20-30 yrs. There was no unusual histological finding like carcinoid tumour of appendix. The present study showed a high number of appendicitis in adolescents and young adults. Negative appendectomy was more common in females. The study support routine histological examination of all the appendicectomy specimens to avoid missing of any clinically important and treatable condition