RESUMEN
Aim &Objective– Insouciance of thickened hernial sac may leads to the complications which progresses to lose a life of the patient. The mortality and morbidity rates can be reduced by having a keen knowledge on the clinical diagnosis of long standing inguinal hernia. Material and method – In a year of covid pandemic (December 2020-January 2021) 56 cases of inguinal hernia is selected for study giving an emphasis on Richter's hernia or partial enterocele. Patients with ventral hernia, femoral hernia, with severe comorbidities ie- bronchial asthma, coronary artery disease were excluded. Result- Having male preponderance in 56 inguinal hernia cases 5 of them got superficial surgical site infection whereas rest of them have ECOG performance index of 1. The schematic flow chart on approach to Richter's inguinal hernia has been proposed Conclusion- It's always better to go for exploratory laparotomy in a long standing case of hernia where history of intermittent reducibility is present. Therefore, visualizing the content of thickened sac is very important in order to have a healthy recovery of the patient.