TO EVALUATE THE OUTCOME OF OBSTRUCTED INGUINAL HERNIA IN MALE BY DARN REPAIR

Abstract

ABSTRACT
BACKGROUND: Surgery is the sole option to treat strangulated or obstructed inguinal hernia
and the option commonly used in our set up is the Darning repair which is the sewing technique
to repair the holes of hernia. This technique, introduced by Abrahamson and popularized by
Molony, is the tension free and approximates inguinal ligament to conjoint tendon to internal ring
and back to pubic tubercle without forcibly bringing tissues together with sutures forming a weave
in the posterior wall of the inguinal canal. Studies on daring repair have shown satisfactory results
regarding postoperative complications and recurrence. OBJECTIVE: To evaluate the results of
Darning repair in inguinal obstructed hernia in male patients. METHODOLOGY: This is a cross
sectional study done in Surgical Unit I1 of Peoples Medical College Hospital (PMCH) Nawabshah.
The duration of study was 1 year from 14th August 2019 to 15th July 2020. Detailed history and
thorough clinical examination of inguino-scrotal region along with examination of abdomen was
done. Ultrasound and CT scan wherever required was done. Darn repair was done and observed
for outcome. RESULTS: Postoperative complications of obstructed inguinal hernia are various.
10 (20%) patients developed wound infection. 3 (6%) had hematoma postoperatively. Recurrence
was in 1 (2%) patient. Fecal fistula was noted in 2 (4%) patients. 1(2%) patient expired due to
sepsis. 2 (4%) had developed septicemia. In 1(2%) patient chronic groin pain was seen. The overall
complication rate was 40%. CONCLUSION:-Darning repair in obstructed inguinal hernias is the
better techniques as it is cost effective and has least recurrence.