A Clinical Study of Complicated Inguinal Hernia with Special Reference to Its Management
Keywords:Pain; time lapsed; gangrenous resection anastomosis; herniorrhaphy.
Introduction: The complications of hernias are incarceration, strangulation, and bowel obstruction. The
reasons for the simple hernia to go into complications are of manyfold including lack of public awareness
of the dangers of hernia complications, etc. Therefore, evaluating the high-risk causes of the complicated
inguinal hernia and its effective management is very important in clinical practice. Materials and methods: It
was a hospital-based prospective observational study. Results: The complicated inguinal hernia was observed
with a male and female ratio of 24:1 and highest (30%) frequency in the age group of 50-60 years. The
right-sided involvement was seen in 33(66%) cases with more features of strangulation. The primary and
recurrent hernia was observed in 48(96 %) and 2(4 %) cases respectively. Complications are more in 35(70
%) cases with a short duration (<1 yr). The pain and irreducible groin swelling were seen in all 50(100%) of
cases. Viability of content as per intraoperative finding where gangrenous/strangulated bowel was found in
18(36%) cases. Reduction and Hernioplasty was done in
28(56) of cases. Conclusion: A systematic
evaluation of clinical features with early intervention help in the management of the cases effre3ctively to
reduce mortality and morbidity.