Year : 2012 | Volume
: 2 | Issue : 1 | Page : 18--23
Single-layered tissue inguinal hernia repair
Abdulkadir Yakubu1, Hazakilu Usain2
1 Department of Surgery, Kazaure General Hospital, Jigawa State, Nigeria
2 Department of Surgery, General Hospital Jahun, Jigawa State, Nigeria
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.
Department of Surgery, Kazaure General Hospital, Jigawa State
|How to cite this article:|
Yakubu A, Usain H. Single-layered tissue inguinal hernia repair.Arch Int Surg 2012;2:18-23
|How to cite this URL:|
Yakubu A, Usain H. Single-layered tissue inguinal hernia repair. Arch Int Surg [serial online] 2012 [cited 2020 Jun 6 ];2:18-23
Available from: http://www.archintsurg.org/article.asp?issn=2278-9596;year=2012;volume=2;issue=1;spage=18;epage=23;aulast=Yakubu;type=0