Hooking Of the Cord Makes Congenital Inguinal Hernia Single Stitch

Abstract

Background: Inguinal Hernia is a common finding in infants & Childrens required surgical repair. Incidence 1 – 4.4% pathology is failure of obliteration of Patent Processus Vaginalis and canal of nuck in female.It occurs, in Boys is six times more than the Girls. Congenital inguinal Hernia can be life threatening, There are various methods for surgical treatment of hernia and hydrocele in children with variable cost effectiveness, recovery and cosmetic out come. This study analyses our experience with minimal invasive herniotomy in children with small incision, with good result. Aims And Objectives: 1.To stydy the herniotomy with small incision and proper identification of sac by hooking of cord (J.Hook). 2. To study reduction of operative time. 3. To study the incidence of congenital inguinal hernia and successful herniotomy. 4. To study feasibility of “day care procedure”. Material And Method: It is prospective study included 118 patients. Duration of 2 years, May 2004 – May 2006. Result: 1. Maximum reporting age is 2 - 4 yars. 2. Incidance in preterm is 39% and 61% in full term babies. 3. Incidance of sex, it is 98% in male 1.69 in female. 4. Incidence common on right side than the left. 5. Successful herniotomy with 1 - 1.5 cm incision in 102 (86.44%). 6. herniotomy mean duration is 12.08 +- 4 min. 7. It is a day care procedure. Conculsion: Single stitch herniotomy with hooking of cord in congenital inguinal hernia made day care procedure successfully and Present study also noted that there is no recurrence. I. Introduction Word hernia derived from the Greek word „‟Hernios‟‟ means a bud, a branch or an offshoot, a term used about 1000 years ago. In Latin word hernia means „a tear or a rupture‟. It is very easy to diagnose in old age than pediatric age group. Congenital inguinal hernia is common finding in infants. Presentation is the inguino- scrotal swelling. Its pathology is failure of obliteration of patent processus vaginalis and canal of nuck in female. It can be life threatening result in to the loss of testis, an ovary or part of the bowel in case of incarceration and strangulation. Considering significant incidence, in juvenile age and significant recurrence rate has challenge the sense of technical proficiency and creative and innovative skill of most experienced surgeon. Hence in present study taking small incision over the internal ring, gentle hooking of the cord with the help of J hook without disturbing nearby structure makes inguinal hernia single stitch. This technique is day care and relieved the patient from pain, discomfort, and immobilization.