A CLINICAL STUDY OF OBSTRUCTED GROIN HERNIA IN RIMS, RANCHI.

Dr. KRISHNA MURARI; Dr. KRITI PATEL; Dr. ASIM A. MINJ

Volume : IX, Issue : VII, July - 2020

A CLINICAL STUDY OF OBSTRUCTED GROIN HERNIA IN RIMS, RANCHI.

Dr. Krishna Murari, Dr. Kriti Patel, Dr. Asim A. Minj

Abstract :

Introduction: Obstructed groin hernia is very common cause of emergency surgical admission with complications like incarceration, obstruction and strangulation. Emergency surgical treatment of obstructed groin hernias is associated with poor prognosis and high rate of post operative complication even with better care, anesthetic management and advanced surgical techniques. The aim of this objective was to determine the various mode of presentation, clinical features and evaluate the post operative outcome in obstructed groin hernia surgery. Materials and Methods: Descriptive study was carried out among 64 cases were conducted in Department of General surgery, RIMS, Ranchi from June 2018-June 2020. Cases with obstructed groin hernia which had signs of obstruction, incarceration and strangulation were taken up for emergency surgical intervention within 6 hours. Results: Out of 64 cases, 61 cases had inguinal hernia and 3 cases had femoral hernia. Majority of the patients were in 5th and 6th decade. Obstructed groin hernia most commonly present in males (90%) than in females (10%). Obstructed inguinal hernia was seen predominately in males and obstructed femoral hernia was found in females. Right sided obstructed groin hernias were more common. Incarceration was the commonest complication seen in 75% cases of age groups 65-74 yrs and strangulated inguinal hernia found in 75% in age group of 55-64 yrs . Majority of duration of hernia varied for 1-2yrs in 50% of cases. Majority of patients presented with localized groin pain with inguino–scrotal swelling in about 40% cases. All patients presented with swelling in inguino–scrotal region which was tender, and there was no impulse on coughing and about 70% of cases had chronic constipation, 25% cases had respiratory distress disease and cardiac issues were seen in 5% cases. In majority of cases surgical intervention, reduction of sac content with modified Bassini�s repair were done in about 35% cases followed by adhesiolysis with hernial content reduction with modified Bassini�s repair were done in about 32.9% of cases. The commonest post operative complication in our study was scrotal edema in about 90% of cases, seroma in about 75% of cases and wound infection in 58% of cases. Conclusion– Obstructed groin hernia have complication like incarceration and strangulation are seen in mainly 5th to 6th decade of life belonging to low and middle socio-economic category of people who are belonging to hard labourer family than sedentary life may associated with chronic illness. Timely diagnosis and prompted surgical repair is essential to prevent the complication.