Hernia: Inguinal - Surgical Anatomy, Presentation, Treatment, Complications
Hernia: Inguinal - Surgical Anatomy, Presentation, Treatment, Complications
Hernia: Inguinal - Surgical Anatomy, Presentation, Treatment, Complications
Dr Amit Gupta
Associate Professor
Dept Of Surgery
Introduction
• Ilioinguinal nerve
•M:F 9:1
• Affects 1-3% of young children
• In men the incidence rises from 11 per 10,000 person years aged
16-24 years to 200 per 10,000 person years aged 75 years or above.
• Constipation
• Urinary symptoms
Presentation
• At first appearance, it is easily reducible.
– omentum and fat is dull and does not have bowel sounds
Investigations
Ultrasound
Herniography
• Suspected hernia, but clinical dx unclear
• Procedure done under flouroscopy following injection of
contrast medium
• Frontal and oblique radiographs are taken with and without
increased intra-abdominal pressure
Systemic examination
• Abdominal
• Ext genitalia
Complications
Tension-free repairs
– Desarda
– Guarnieri
Bassini technique,first suture:
Advantages Disadvantages
•Quicker recovery •Needs surgeon highly
experienced