Descriptive Study of Inguinal Hernia in the Post Graduated Hospital Khost

Abstract

Hernia is derived from the Latin word for rupture1. A hernia is defined as an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. Although a hernia can occur at various sites of the body, these defects most commonly involve the abdominal wall, particularly the inguinal region. Hernia surgery is one of the earliest forms of surgery and various techniques of hernia repair have been described. The ideal treatment of inguinal hernia should be well defined and should be the least traumatic as regards to both the requested type of anesthesia and the operative technique, least expensive, least per-and postoperative morbidity, the chosen technique should also be the easiest to learn and perform and the positive results should be the most reproducible.
 This research was conducted on 214 patients, out of which only 2 patients were female, which are 1.6%, and all other patients were male, which are 98.4%. The average age of all patients are 18-50 years old, of which 42 patients are 18-28 years old, 49 patients are 29-39 years old, and 123 patients are 40-50 years old.
 Out of 214 patients, 126 patients had Right inguinal hernia which are 59%, 77 patients had left inguinal hernia which are 36% and 11 patients had hernia on both sides which are 5%. 67 patients had direct inguinal hernia which are 31.1% and 147 patients had indirect inguinal hernia which are 68.9%. The diagnosis of these patients was mostly based on history and clinical signs and symptoms of the patient.
 Among those patients, 70 were underwent shouldice repair, which are 23.7%, 114 patients underwent bassini repair, which are 53.0 %, and 30 patients underwent meshplasty, which are 14.3%.
 Fortunately, all of the patients who have been operated have been cured and the death rate are zero, and only 12 patients, which are 5.6% of the total, were previously operated. 5 patients had hematocele which are 2.3%, 3 patients developed neuralgia after surgery which are 1.4% and 3 patients had infection which are 1.4%.
 So, we said that only 5.14% of our patients had post-operative complications, fortunately 94.86% of patients were cured without complications.