A CLINICAL STUDY OF VARIOUS PATTERNS OF ABDOMINAL WALL HERNIA WITH SPECIAL EMPHASIS ON INGUINAL HERNIA AND IT’S CORRELATION WITH PRE-OPERATIVE ULTRASONOGRAPHY AND INTRAOPERATIVE FINDINGS AT TERTIARY CARE CENTRE
DOI:
https://doi.org/10.22159/ajpcr.2024.v17i2.48270Keywords:
Inguinal hernia, Hernioplasty, Ultrasound, Incisional herniaAbstract
Objective: Various presentations of abdominal wall hernia and their clinical correlation to preoperative ultrasonography report and intraoperative findings.
Methods: Fifty consecutive patients were admitted to the Department of General Surgery at PMCH, Udaipur, during January 2021–June 2022, with a mean follow-up period of 18 months. The patient’s particulars, elaborate h/o complaints, clinical examination, investigations, procedure done, and post-operative complications were recorded.
Results: Maximum cases reported had a right inguinal hernia, hence right inguinal hernioplasty was performed in 46% of cases, followed by left inguinal hernioplasty in 32%, bilateral inguinal hernioplasty in 14%, and epigastric and mesh hernioplasty in 4% each. The judgemental accuracy and of ultrasound (USG) had sensitivity of 86.96%, specificity of 100.00%, and accuracy of 88.00%. Intraoperatively, 92% of sonography findings were confirmed. In only six cases, the findings differed from ultrasound.
Conclusion: High-resolution sonography is an accurate diagnostic imaging modality in anterior abdominal wall lesions. The advantages of high-resolution sonography include noninvasiveness, high accuracy, lack of ionizing radiation, simplicity, wide availability, cost-effectiveness, and repeatability.
Downloads
References
Townsend C, Beauchamp R, Evers B, Mattox K. Sabiston Textbook of Surgery. 20th ed. Philadelphia, PA: Elsevier; 2016. p. 1092.
Fowler C. Chapter 79: The testes and scrotum. In: Williams NS, Bulstrode CJ, Ronan P, Connell O, editors. Bailey and Love’s Short Practice of Surgery. 25th ed. London: Arnold Publishers; 2008. p. 1377-416.
Goldstin M. Surgical management of male infertility and other scrotal disorder. In: Walsh PC, Retik AB, Vaughan, editors. Campbell’s Urology. 8th ed., Vol. 1. Edinburgh: WB Saunders Company; 2002. p. 313-6.
Skoog SJ, Roberts KP, Goldstein M, Pryor JL. The adolescent varicocele: What’s new with an old problem in young patients? Pediatrics 1997;100:112-21. doi: 10.1542/peds.100.1.112, PMID 9200369
Yelkur KK. Inguinal Hernia-Comprehensive Study of Incidence and Management at K.V.G Medical College and Hospital, Sullia, Karnataka; 2011-2014.
Sachin A. Prospective Study of Inguinoscrotal Swellings and Its Management in A Tertiary Care Hospital [Thesis] Submitted to RGHSU Karnataka, Bangalore; 2017.
Raghavendra M. A Comparative Study of Lichtenstein’s Hernioplasty for Uncomplicated Inguinal Hernia Done under Local Anaesthesia Versus Spinal Anaesthesia. Mysore: Mysore Medical College and Mysore Research Institute; 2014.
Sreekant. Clinical Study of Ventral [Hernia Dissertation] [Thesis] Submitted to RGHSU Karnataka, Bangalore; 2012.
Bose SM, Lal R, Kalra M, Wig JD, Khanna SK. ’Ventral hernia - a review of 175 cases’. Indian J Surg 2017;61:180-4.
Liem MS, van Duyn EB, van der Graaf Y, van Vroonhoven TJ. Recurrences after conventional anterior and laparoscopic inguinal hernia repair. Ann Surg 2003;237:136-41. doi: 10.1097/00000658- 200301000-00019
Alam A, Nice C, Uberoi R. The accuracy of ultrasound in the diagnosis of clinically occult groin hernias in adults. Eur Radiol 2005;15:2457-61. doi: 10.1007/s00330-005-2825-7, PMID 15986204
Lee RK, Griffith JF, Ng WH. High accuracy of ultrasound in diagnosing the presence and type of groin hernia. J Clin Ultrasound 2015;43:538-47. doi: 10.1002/jcu.22271, PMID 25944106
Published
How to Cite
Issue
Section
Copyright (c) 2023 Dr Tejpal Singh Saran, Dr Chouhan, Harpinder Singh
This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.
