A DEMOGRAPHIC, CLINICAL AND SURGICAL STUDY OF OBSTRUCTED INGUINAL HERNIA

Abstract

Mohammed Imran Khaleel1, Syed Asif Shah Harooni2

BACKGROUND
An obstructed inguinal hernia means the inguinal hernia is associated with intestinal obstruction due to occlusion of lumen of bowel. A distinguishing feature of strangulated hernia is the bowel's blood supply is not compromised. Intestinal obstruction is absent in case of omentocele, Richter's hernia and Littre's hernia. In this study, a sincere effort has been made to study and understand an obstructed inguinal hernia. This study is intended to help the practicing surgeon to understand the complications and to take necessary actions.
MATERIALS AND METHODS
? Eighty cases of obstructed inguinal hernia were studied between June 2009 to September 2011.
? This study has been conducted from the patients of Deccan College of Medical Sciences admitted during the above period.
? Out of 80 cases for follow up after discharge, 25 cases were reviewed.
RESULTS
? The incidence of obstruction in inguinal hernia is 7.9% in this study.
? Obstructed inguinal hernia is more common in age group 20-50 yrs. of age.
? It is 80 times more common in males. Male-to-female ratio is 79:1.
? There is right-sided preponderance. Obstruction occurs in ratio of 3:1 on right and left sides.
CONCLUSION
A study of common surgical emergency- obstructed inguinal hernia was presented. Anatomy, pathophysiology, aetiological factors, clinical features and complications were noted.

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