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ORIGINAL ARTICLE
Year : 2012  |  Volume : 2  |  Issue : 1  |  Page : 18-23

Single-layered tissue inguinal hernia repair


1 Department of Surgery, Kazaure General Hospital, Jigawa State, Nigeria
2 Department of Surgery, General Hospital Jahun, Jigawa State, Nigeria

Correspondence Address:
Abdulkadir Yakubu
Department of Surgery, Kazaure General Hospital, Jigawa State
Nigeria
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Source of Support: Funded in part by Sha, aibu Maigida Aujara, Conflict of Interest: None


DOI: 10.4103/2278-9596.101261

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Background: There is still no consensus about the best and most cost-effective surgical approach to inguinal hernia repair. This study analyzes our experience in an open, non-mesh, one-layered inguinal hernia repair. Materials and Methods: From January 2001 to December 2008, 1238 patients who underwent inguinal hernia repair at two general hospitals were retrospectively reviewed. Their age ranged from 18 to 87 years, with a mean of 45.3 ± 11.0 years. Following clinical evaluation, herniorrhaphy was done under appropriate anesthesia. Patients were discharged home the same day on oral drugs. Wound dressing was changed and sutures were removed on the 3 rd and 7 th days of the follow-up visits, respectively. Demographic information, types of hernias, associated diseases, and complications were analyzed. Results: Mean duration of symptoms before presentation was 3.4 ± 0.2 years. There were 742 patients (60.0%) with indirect hernia, 496 patients (40.1%) with direct hernia, 570 cases (46.1%) of inguinoscrotal hernia, 342 patients (27.6%) with bilateral hernia, and 33 patients (2.7%) with recurrent hernia. Local anesthesia was successful in 1046 patients (84.5%). Spinal anesthesia was used in 186 patients (15.0%). Six patients (0.5%) were operated under general anesthesia. The mean inpatient stay was 4.5 h. The average cost per patient was $99:00. The mean duration of surgery was 30 ± 2.0 min, ranging from 25 to 63 min. Postoperative pain syndrome was observed in 8.0% of cases. There was a recurrence of 2.7%. Conclusion: Single-layered tissue inguinal hernia repair under local anesthesia can be confidently performed by skilled surgeons with low complication and recurrence rate and is recommended for low-income communities.


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