EP-595 The Use of Scrotal Compression Following Large Open Inguinoscrotal Hernia Repairs

Abstract

Abstract Aims Large inguinoscrotal hernias are endemic in Sub-Saharan Africa, and scrotal edema is a common complication following surgery. The use of scrotal compression has been advised, especially in tropical regions, to reduce its incidence. We aimed to determine the rate of usage of scrotal compression following large inguinoscrotal hernia repairs as recommended. Method A review of all herniorrhaphies done for large inguinoscrotal hernias over one year in the hospital was carried out to evaluate the application of scrotal compression post-op. Results Out of the 22 large inguinoscrotal hernia repairs done, 12 of them did not have a scrotal compression post-surgery. Discussion/ Conclusion Due to the deep dissection needed during open hernia repairs, as well as the potential space left after surgery, there is a tendency for fluid to collect in the space, leading to an edematous scrotum. Although not mandatory, the use of scrotal compression confers some benefits in preventing the occurrence of scrotal edema. Following the presentation of the findings to the department and a re-audit, there was increased usage of scrotal compression and a reduced incidence of post-operative scrotal edema. The use of scrotal compression is a useful tool in reducing the incidence of scrotal edema.