Date Log
Study of Demographic, Risk factors and Evidence based Hernia repair and its Management in Adults in Tertiary care Hospital
Corresponding Author(s) : Jyothsna Bollu
International Journal of Allied Medical Sciences and Clinical Research,
Vol. 8 No. 4 (2020): 2020 Volume - 8 Issue-4
Abstract
Background
Hernia is defined as a protrusion of an organ or part (such as the intestine) through connective tissue or through wall of the cavity (as the abdomen) in which it is normally enclosed and cause pain and discomfort. Surgery is the only method to cure this Hernia. The type of Hernia is based on the anatomical position of the body like Inguinal Hernia, Femoral Hernia, Hiatal Hernia, Incisional Hernia, Umbilical Hernia and Epi-gastric Hernia. Local anaesthetic drug is prescribed to the patient before going to surgery and then anti-biotic drugs for post-operative. The aim of the study is to evaluate demographic information including distribution of hernia patients in different hospital wards, gender and age, occupation, type of hernia, prescription drugs and risk factors associated with adults hernia patients at a Tertiary Care Hospital, Andhra Pradesh Vaidya Vidhana Parishad (APVVP) Government District Hospital, Proddatur, YSR Kadapa District, Andhra Pradesh, India.
Methods
This is a prospective study, which was carried out in the department of surgery for a period of 6 months. The most common Laparoscopic technique for inguinal Hernia repair is Transdermal Peritoneal (TAPP) repair and Totally Extraperitoneal (TEP) repair. All cases were operated and procedure adopted was anatomical repair or mesh repair or laparoscopic method. History and clinical examination were required to confirm the diagnosis of clinical evidence of groin Hernia. Patient demographic information including gender, age, occupation, hernia type prescription drugs and risk factors were collected.
Results
A total number of 110 cases of Hernia were studied with follow up period varying from 6 months. Hernia patients were distributed among three surgical wards, male surgical ward occupied highest patients with 40.9% (45 out of 110) and overall male patient predominance (62 out of 110) was observed among all the surgical wards. Age group distribution analysis revealed 60-70 years patients were found high percentage 24.5 (27 out of 110). While illiterate occupation patients were affected more by hernia compared to literate occupation, Coolly and Farmers were the illiterate outpatients affected more than 50 percent (50.8% 32 out of 63). In the literate occupation group, employees are highly affected (29.8% 14 out of 47). Inguinal hernia was found as most frequent hernia with 42.7% cases (47 out of 110). Antibiotics were the most prescribed drugs to the hernia patients. Weight lifting, pregnancy, and obesity were the main risk factors of Hernia, more than 60% of patients (65% 52 out of 80), were associated with these risk factors.
Conclusion
In this study we found that rural area illiterate occupation population was affected more when compared to urban literate group. This could be due to occupation related risk factor weight lifting.
Keywords
Download Citation
Endnote/Zotero/Mendeley (RIS)BibTeX
-
1. Nautiyal OH. Treatment of Groin Hernia with Alternate Medicines with Self Prepared Formulations. Organic and Medicinal Chemistry 2018; 7.
2. Simons MP, Aufenacker T, Bay-Nielsen M et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009; 13: 343-403.
3. Kumar B, Madhusoodhanan N, Balaji A, Poornima M. Prevalence and risk factors of inguinal hernia-a hospital based observational study. Int J Med Appl Sc 2014; 3.
4. Purkayastha S, Chow A, Athanasiou T et al. Inguinal hernia. BMJ Clin Evid 2008; 2008.
5. Balamaddaiah G, Reddy S. Prevalence and risk factors of inguinal hernia: a study in a semi-urban area in Rayalaseema, Andhra Pradesh, India. Int Surg J 2016; 3.
6. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet 2003; 362: 1561-71.
7. Poelman MM, van den Heuvel B, Deelder JD et al. EAES Consensus Development Conference on endoscopic repair of groin hernias. Surg Endosc 2013; 27: 3505-19.
8. Jenna P, P SS. A clinical study and management of incisional hernia. J Evid Based Med Healthc 2017; 4.
9. Keller K, Engelhardt M. Strength and muscle mass loss with aging process. Age and strength loss. Muscles Ligaments Tendons J 2013; 3: 346-50.
10. Phillip JM, Aifuwa I, Walston J, Wirtz D. The Mechanobiology of Aging. Annu Rev Biomed Eng 2015; 17: 113-41.
11. Carbonell JF, Sanchez JL, Peris RT et al. Risk factors associated with inguinal hernias: a case control study. Eur J Surg 1993; 159: 481-6.
12. Lin BM, Hyndman ME, Steele KE et al. Incidence and risk factors for inguinal and incisional hernia after laparoscopic radical prostatectomy. Urology 2011; 77: 957-62.
13. Tschuor C, Metzger J, Clavien PA et al. Inguinal hernia repair in Switzerland. Hernia 2015; 19: 741-5.
14. Abe T, Shinohara N, Harabayashi T et al. Postoperative inguinal hernia after radical prostatectomy for prostate cancer. Urology 2007; 69: 326-9.
15. Edwards CC, 2nd, Bailey RW. Laparoscopic hernia repair: the learning curve. Surg Laparosc Endosc Percutan Tech 2000; 10: 149-53.
References
2. Simons MP, Aufenacker T, Bay-Nielsen M et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009; 13: 343-403.
3. Kumar B, Madhusoodhanan N, Balaji A, Poornima M. Prevalence and risk factors of inguinal hernia-a hospital based observational study. Int J Med Appl Sc 2014; 3.
4. Purkayastha S, Chow A, Athanasiou T et al. Inguinal hernia. BMJ Clin Evid 2008; 2008.
5. Balamaddaiah G, Reddy S. Prevalence and risk factors of inguinal hernia: a study in a semi-urban area in Rayalaseema, Andhra Pradesh, India. Int Surg J 2016; 3.
6. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet 2003; 362: 1561-71.
7. Poelman MM, van den Heuvel B, Deelder JD et al. EAES Consensus Development Conference on endoscopic repair of groin hernias. Surg Endosc 2013; 27: 3505-19.
8. Jenna P, P SS. A clinical study and management of incisional hernia. J Evid Based Med Healthc 2017; 4.
9. Keller K, Engelhardt M. Strength and muscle mass loss with aging process. Age and strength loss. Muscles Ligaments Tendons J 2013; 3: 346-50.
10. Phillip JM, Aifuwa I, Walston J, Wirtz D. The Mechanobiology of Aging. Annu Rev Biomed Eng 2015; 17: 113-41.
11. Carbonell JF, Sanchez JL, Peris RT et al. Risk factors associated with inguinal hernias: a case control study. Eur J Surg 1993; 159: 481-6.
12. Lin BM, Hyndman ME, Steele KE et al. Incidence and risk factors for inguinal and incisional hernia after laparoscopic radical prostatectomy. Urology 2011; 77: 957-62.
13. Tschuor C, Metzger J, Clavien PA et al. Inguinal hernia repair in Switzerland. Hernia 2015; 19: 741-5.
14. Abe T, Shinohara N, Harabayashi T et al. Postoperative inguinal hernia after radical prostatectomy for prostate cancer. Urology 2007; 69: 326-9.
15. Edwards CC, 2nd, Bailey RW. Laparoscopic hernia repair: the learning curve. Surg Laparosc Endosc Percutan Tech 2000; 10: 149-53.