ABSTRACT
Background: Inguinal hernia repair using mesh is one of the most frequently performed operations in general surgery. We evaluated pain, recurrence, complications such as wound infection, mesh infection, return to work and length of hospital stay after hernia repair using standard mesh. Materials and methods: A prospective clinical study was conducted with standard polypropylene mesh repair of a hernia. Data were collected from admission till discharge from the hospital, one month, two months and three months after surgery. At each visit clinical examination and ultrasound was done to evaluate chronic persisting inguinal pain and recurrences. Results: A total of 80 patients underwent tension free hernia repair with standard mesh. There were 36 males and 44 females. The mean age of the patients was 54±8.2 years. The average duration of stay in the hospital was 5.2±1.4 days. 4/80 (5%) had wound infection, 2/80 (2.5%) had mesh infection and only 7/80 (10%) had recurrent pain after one year. Conclusion: In our study, low recurrence rates, early return to work and a low percentage of persistent pain suggest that open repair with standardised mesh for hernia repair remains a good option for the low-income group patients. Additionally, it is easy to perform, inexpensive and can be done under local anesthesia.
ABSTRACT
Background: A surgical site infection occurs when micro-organisms get into the part of the body that has been operated on and multiply in the tissues. Surgical site infections can sometimes be superficial infections involving the skin only. Other surgical site infections are more serious and can involve tissues under the skin, organs, or implanted material. CDC provides guidelines and tools to the healthcare community to help end surgical site infections and resources to help the public understand these infections and take measures to safeguard their own health when possible. In this study, a sincere effort has been put to understand and thus help the practising surgeons to help them manage the post – operative complications in infective wounds. Materials and methods: The study was conducted in the Department of General Surgery, Nimra Institute of Medical Sciences (NIMS), Vijayawada on two hundred patients who were admitted for various surgeries were selected for the study randomly. The study was conducted between November 2015 and July 2016. Two hundred patients were included in the study. Results: The overall infection rate was found to be 25 percent. In the case of clean surgical site of infection is found to be nil where as in the case of contaminated surgeries the rate infection rate was high. It was found the statistically significant. The complications faced during the surgery involved failing to see the proper field of vision at the surgical site, difficulty in approaching the site involved, bleeding and a significance higher level of surgery time involved. The post - operative complications were delayed wound healing at the surgical site, pain at the operated site, wound gaping and increased hospital stay. Conclusion: The study concluded that the pre-operative wound management is a necessity in cases where the wounds or the parts of the body to be operated are infected in order to minimize the complications faced during the operative and post-operative periods.