The use of scrotal support post inguino-scrotal hernia repair: a prospective observational study
DOI:
https://doi.org/10.18203/2349-2902.isj20242289Keywords:
Scrotal support, Inguino-scrotal hernia, Scrotal edemaAbstract
Background: Inguino-scrotal hernias pose a significant clinical challenge, requiring surgical intervention for resolution. Post-operative care is crucial for optimizing outcomes and enhancing patient comfort. Scrotal support has emerged as a potential adjunctive therapy in this context. The aim of this study was to compare the occurrence of scrotal swelling in the form of edema and hematoma in post-operative cases of inguinal hernia repair cases in our surgical unit in a tertiary care center.
Methods: Our study was carried out at a rural tertiary care center from July 2022 to June 2024 and includes 389 patients who underwent elective surgical repair for inguino-scrotal hernias. Scrotal support was provided post-operatively, and patients were followed up at regular intervals. The study population was divided into two groups, group A with regular under garments and group B were given scrotal support (coconut bandage). Total numbers of 1050 inguino-scrotal hernia surgery were performed of which 389 patients were operated in a single unit by two surgeons and we included in the study. Of the 389 cases, 208 cases were in group A and 181 cases were in group B. All are male patients with the age ranges from 35-75 years.
Results: In group A, 37 patients (17.78%) developed scrotal hematoma and edema and in group B, 16 patients (8.83%) developed similar findings.
Conclusions: Scrotal support post inguino-scrotal hernia repair demonstrates promising benefits, including decreased pain and swelling and improved patient satisfaction, without compromising surgical outcomes.
References
Shah DK, Sagar J. Massive penoscrotal haematoma following inguinal hernia repair: a case report. J Med Case Rep. 2008;2:1-3.
Kosternoy A, Bayumi EK. Effect of scrotal hitching in reducing scrotal edema after inguinoscrotal hernia repair. J Dental Med Sci. 2015;14(8):41-4.
Nafees A, Ghayasuddin M, Ali M, Jariullah I, Waseem R, Ekram A, et al. Role of Scrotal Support to Prevent Scrotal Edema After Inguinal Hernioplasty: Scrotal Support to Prevent Scrotal Edema. Pak J Health Sci. 2023;4(05):218-21.
Kumar V, Soni P, Chadha S, Malik B. Penoscrotal haematoma after cardiac catheterisation. BMJ Case Rep. 2017;2017:bcr-2016-218934.
Garg G, Goyal S. Face-Mask As Scrotal Support To Reduce Incidence Of Scrotal Oedema (Post Inguinoscrotal Surgery). IJMHS. 2013;3(6):291-3.
Ekeke ON, Nwauche CA. An uncommon cause of massive penoscrotal haematoma. Niger J Med. 2004;13(1):64-6.
Li J, Ji Z, Shao X. Prevention of seroma formation after laparoscopic inguinoscrotal indirect hernia repair by a new surgical technique: A preliminary report. Int J Abdominal Wall Hernia Surg. 2018;1(2):55-9.
Tamilselvan S, Rajachidambaram K, Manoj SK, Gowtham, Traditional Scrotal Support After Inguino Scrotal Hernia Repair- A Historical Ritual or A Scientific Myth? Global J Res Analysis. 2018;7(3):26-7.
Tanović H, Mesihović R, Muhović S. Randomized trial of TEP laparoscopic hernioplasty versus Bassni inguinal hernia repair. Medicinski Arhiv. 2005;59(4):214-6.
Joseph MG, O'Boyle PJ. The 'hitch-stitch' and drain technique for the prevention of inguinoscrotal haematoma following complicated inguinoscrotal surgery. J R Coll Surg Edinb. 1989;34(2):104-5.
Ceylan K, Yuksel Y, Hasan G, Alpaslan K. Inguinal approach in adult hydrocele surgery: preliminary randomized study. Adv Ther. 2006;23:159-62.
Johal NS, Nitkunan T, O'Malley K, Cuckow PM. The two-stage repair for severe primary hypospadias. Eur Urol. 2006;50(2):366-71.
Raja R, Sreeramulu PN, Vikranth SN, Srinivasan D. Scrotal hitch: a novel technique to reduce post-operative scrotal oedema in inguinal hernia surgeries: a pilot study. Int Surg J. 2020;7:1095-8.
