Recurrent Inguinal Hernia (A Descriptive Study on Etiology & Management)

Background: Recurrent inguinal hernia constitutes a significant problem for the surgical community.  Incidence of recurrence and chronic groin pain after hernia repair require continuous audit, participation in a register and follow-up by selective physical examination provides a solid basis for qu...

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Main Authors: Authman Y Ali, Bassam Hameed Abdulla
Format: Article
Language:English
Published: College of medicine/ University of Diyala 2023-04-01
Series:Diyala Journal of Medicine
Subjects:
Online Access:https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/973
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author Authman Y Ali,
Bassam Hameed Abdulla
author_facet Authman Y Ali,
Bassam Hameed Abdulla
author_sort Authman Y Ali,
collection DOAJ
description Background: Recurrent inguinal hernia constitutes a significant problem for the surgical community.  Incidence of recurrence and chronic groin pain after hernia repair require continuous audit, participation in a register and follow-up by selective physical examination provides a solid basis for quality control. Objective: Description of cases with recurrent inguinal hernia, type of previous repair, factors contributed to recurrence of hernia and type of repair used with the study of post-operative complications in the early postoperative period. Patients and Methods: Descriptive studies on patients with recurrent inguinal hernia were evaluated and data collected. History; age, occupation, time of previous operation, predisposed factors extracted from the previous operation and change of lifestyle. General examination; the presence of predisposing factors, comorbid factors, obesity. Local examination: to describe the type of hernia. Local examination: to describe the type of hernia. Results: In our study 18(40%) patients had an indirect recurrent hernia, 24 patients with recurrent direct inguinal hernia, and 3 patients presented with pantaloon hernia. Males constitute 93.33% of cases. Smoking and chronic cough were the most common predisposing factors. The right side constitutes 80% of cases and the other 20% on the left side. The interval between the previous operation and clinical presentation of recurrence is the highest number presented after 2-5 years. Conclusion: Mesh repair was superior to other types of repair (less no. of patients with previous mesh repair and less post-operative complications).
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spelling doaj.art-8bb794ac79d744328cd4263192ce0d7d2023-11-26T23:22:39ZengCollege of medicine/ University of DiyalaDiyala Journal of Medicine2219-97642617-89822023-04-0124110.26505/djm.v24i1.973Recurrent Inguinal Hernia (A Descriptive Study on Etiology & Management)Authman Y Ali,Bassam Hameed Abdulla Background: Recurrent inguinal hernia constitutes a significant problem for the surgical community.  Incidence of recurrence and chronic groin pain after hernia repair require continuous audit, participation in a register and follow-up by selective physical examination provides a solid basis for quality control. Objective: Description of cases with recurrent inguinal hernia, type of previous repair, factors contributed to recurrence of hernia and type of repair used with the study of post-operative complications in the early postoperative period. Patients and Methods: Descriptive studies on patients with recurrent inguinal hernia were evaluated and data collected. History; age, occupation, time of previous operation, predisposed factors extracted from the previous operation and change of lifestyle. General examination; the presence of predisposing factors, comorbid factors, obesity. Local examination: to describe the type of hernia. Local examination: to describe the type of hernia. Results: In our study 18(40%) patients had an indirect recurrent hernia, 24 patients with recurrent direct inguinal hernia, and 3 patients presented with pantaloon hernia. Males constitute 93.33% of cases. Smoking and chronic cough were the most common predisposing factors. The right side constitutes 80% of cases and the other 20% on the left side. The interval between the previous operation and clinical presentation of recurrence is the highest number presented after 2-5 years. Conclusion: Mesh repair was superior to other types of repair (less no. of patients with previous mesh repair and less post-operative complications). https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/973Hernia; Inguinal; Herniorrhaphy; Hernioplasty; Prolene mesh; Hesselbach's triangle
spellingShingle Authman Y Ali,
Bassam Hameed Abdulla
Recurrent Inguinal Hernia (A Descriptive Study on Etiology & Management)
Diyala Journal of Medicine
Hernia; Inguinal; Herniorrhaphy; Hernioplasty; Prolene mesh; Hesselbach's triangle
title Recurrent Inguinal Hernia (A Descriptive Study on Etiology & Management)
title_full Recurrent Inguinal Hernia (A Descriptive Study on Etiology & Management)
title_fullStr Recurrent Inguinal Hernia (A Descriptive Study on Etiology & Management)
title_full_unstemmed Recurrent Inguinal Hernia (A Descriptive Study on Etiology & Management)
title_short Recurrent Inguinal Hernia (A Descriptive Study on Etiology & Management)
title_sort recurrent inguinal hernia a descriptive study on etiology management
topic Hernia; Inguinal; Herniorrhaphy; Hernioplasty; Prolene mesh; Hesselbach's triangle
url https://www.djm.uodiyala.edu.iq/index.php/djm/article/view/973
work_keys_str_mv AT authmanyali recurrentinguinalherniaadescriptivestudyonetiologymanagement
AT bassamhameedabdulla recurrentinguinalherniaadescriptivestudyonetiologymanagement