Darn repair in inguinal hernia

ABSTRACT

This study included 260 cases with inguinal hernia, the majority were males [255 cases], and the ages varied from 15 to 60 years. Right sided hernias were 170 cases [65.4%] and left sided hernias were 90 [34.6%]. Bilateral hernias were 21 but, only one side was considered for operation at a time. Indirect hernias were 230 [88.5%] and direct hernias were 30 [11.5%]. Out of the total number, 20 patients had huge hernias and 11 cases proved to be of the sliding variety, 28 patients had strangulated hernias and 30 cases were darned for recurrent hernias. All patients were subjected to general and local examination. Cases of chronic straining were of prime importance to be corrected before surgery. Anesthesia was general endotracheal inhalation type. Antibiotic prophylaxis was given as cefradin 1 g I.V. 1 hour preoperatively and 1 and 8 hours postoperatively. Antibiotics were further given only for cases with signs of wound sepsis. Follow up monthly for recurrence, hydrocele, paresthesia and testicular atrophy was performed. 12 [4.6%] cases showed wound sepsis. 14 [5.4%] cases had postoperative hydrocele and only 3 cases persisted and required further scrotal operation. Inguinal pain of moderate severity was noticed in 9 cases [3.5%]. Only 7 [2.7%] cases showed recurrence and 2 cases out of these had huge sliding hernias