Incidence of inguinal hernia and its type in a study in a semiurban area in Andhra Pradesh, India
DOI:
https://doi.org/10.18203/2349-2902.isj20163184Keywords:
Inguinal hernia, Incidence, Unilateral, BilateralAbstract
Background: Repair of inguinal hernia is one of the most common operations in general surgery. A reducible hernia is usually a longstanding condition, and diagnosis is made clinically, on the basis of typical symptoms and signs. This study was conducted to assess the incidence of inguinal hernias in our geographical area.
Methods: 187 patients who had come to the hospital with complaints of swelling in their groin and confirmed to be inguinal hernia were included into the study. Ultrasound for the detection of aneurysm of the abdominal aorta was done for all the patients before the inguinal hernia repair.
Results: 129 (69%) patients were males and only 58 out of the 187 patients were females. Most of the patients had primary hernia while 45 (24.1%) of them had recurrent hernia. Most of the patients were between 31-60 years of age followed by 61-75 years. Around 94% of the patients had unilateral hernia and 5.9% had bilateral hernias. Of the unilateral ones, right side was predominant over the left side. 80% of the patients had indirect hernia and direct hernia was seen only among 20% of them.
Conclusions: More such studies need to be conducted at various geographical regions to get more number of observations and data to gather the prevalence.
References
Mebula JB, Chalya PL. Surgical management of inguinal hernias at Bugando medical centre in northwestern Tanzania: our experience in a resource-limited setting. BMC Research Notes. 2012;5:585.
Primatesia P, Golacre MJ. Inguinal hernia repair, incidence of elective and emergency surgery. Int J Epidemiology. 1996;25:835-9.
Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003;362:1561-71.
Devlin HB. Trends in hernia surgery in the land of Astley Cooper. In: Soper NJ, ed. Problems in general surgery. Philadelphia, PA: Lippincott-Raven. 1995;12:85-92.
Page B, Paterson C, Young D, Dwyer PJ. Pain from primary inguinal hernia and the effect of repair on pain. Br J Surg. 2002;89:1315-8.
Rains AJH, Ritchie DH. Bailey & Love's Short Practice of Surgery. Hodder Arnold; London. 1984:52.
Fatima A, Mohiuddin MR. Study of incidence of inguinal hernias and the risk factors associated with the inguinal hernias in the regional population of a South Indian City. Int J Cur Res Rev. 2014;6(23):9-13.
Gupta DK. Inguinal hernia in children: an Indian experience. Pediatr Surg Int. 1993;8:466-8.
Charles NR. A two year retrospective study of congenital inguinal hernia at western regional hospital, Nepal. J Nep Med Assoc. 2000;39:172-5.
Balram. Prevalence of inguinal hernia in Bundelkhand region of India. Ann Int Med Den Res. 2016;2(3):137-8.
Sayanna S. Prevalence of inguinal hernia in Indian population a retrospective study. Int Med J. 2015;2(2):75-8.
Gulzar MR, Iqbal J, Ulhaq MI, Afzal M. Darning vs bassini repair for inguinal hernia: A prospective comparative study. Professional Med J. 2007;14:128-33.
Ruhl CE, Everhart JE. Risk factors for inguinal hernia among adults in the US population. Am J Epidemiol. 2007;165:1154-61.
Saeed BBA. Inguinal hernia repair by darning. Yemen Journal Med Sci. 2009;1(3):1-5.
Nordback I. Side incidence of inguinal hernias. Ann Chir Gynaecol. 1984;73:87-90.
Sangwan M, Sangwan V, Garg M, Mahendirutta P, Garg U. Abdominal wall hernia in a rural population in India: Is spectrum changing? Open Journal Epidemiology. 2013;3:135-8.
Devlin HB. Management of inguinal hernias. London: Butterworth. 1988;28.
Qaderi ES, Aligharaiben K, Hani I, Gassaimeh G, Ammari F. Hernia in northern Jordan. Trap Geogr Med. 1992;44:281-3.
Akin ML, Karakaya, Batkin A, Nogay A. Prevalence of inguinal hernia in otherwise healthy males of 20 to 22 years of age. J Army Med Corps. 1997;143:101-2.
Garba ES. The pattern of adult external abdominal hernias in Zaria. Nigerian J Surg Research. 2000;2:12-5.
Mbah N. Morbidity and mortality associated with inguinal hernia in northwestern Nigeria. West African J Med. 2007;26:288-92.
