A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang

Background: Options of surgery are still controversial in young adults with uncomplicated indirect inguinal hernia. The purpose of this study is to evaluate outcomes of herniotomy in young adults with uncomplicated indirect inguinal hernias. Methods: This is a retrospective cross-sectional stu...

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Main Author:	Salleh, Syahrul Anuar
Format:	Thesis
Language:	English
Published:	2016
Subjects:	RC799-869 Diseases of the digestive system Gastroenterology
Online Access:	http://eprints.usm.my/43470/1/Dr.%20Syahrul%20Anuar%20Salleh-24%20pages.pdf
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spelling	my-usm-ep.434702019-04-12T05:25:32Z A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang 2016 Salleh, Syahrul Anuar RC799-869 Diseases of the digestive system. Gastroenterology Background: Options of surgery are still controversial in young adults with uncomplicated indirect inguinal hernia. The purpose of this study is to evaluate outcomes of herniotomy in young adults with uncomplicated indirect inguinal hernias. Methods: This is a retrospective cross-sectional study of case record of patients aged between 15 and 34 years old who were diagnosed to have uncomplicated indirect inguinal hernia and underwent herniotomy in Hospital Seberang Jaya, Pulau Pinang. There are 3 aspects of outcome of the surgery in which are postoperative haematoma, chronic pain and recurrence are taken into account. Results were analyzed using desriptive analysis method. Results: A total of 117 patients aged between 15 and 34 years (Mean 23.8 ± 5.5 years), comprising 108 males and 9 females with a male:female ratio of 12:1. Majority were Malays (65.8%) followed by foreigners (22.2%). Majority had no medical history (92.3%) or surgical history (88%) and non-smoker (69.2%). Mean duration of swelling and pain before presentation was 1653.5 ± 2263.9 days and 94.98 ± 323.79 days, respectively. Majority of hernia was right-sided hernia (59.8%). 79.5% of surgery was performed under local anaesthesia and 80.34% was done as day-case surgery. Mean duration surgery was 46.38 ± 21.5 minutes. Content of hernial sac was mostly empty (72.6%). There were postoperative haematoma and recurrence occurred in 5 % and 2%of cases, respectively. There was no chronic pain. Conclusion: Herniotomy alone is sufficient in treating young adults with uncomplicated indirect inguinal hernia in term of postoperative haematoma, chronic pain and recurrence compared to other types of procedure. Moreover it can also provide extra advantages in term of manpower, duration of surgery, hospital stay, total cost of hospitalization and early recovery. 2016 Thesis http://eprints.usm.my/43470/ http://eprints.usm.my/43470/1/Dr.%20Syahrul%20Anuar%20Salleh-24%20pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC799-869 Diseases of the digestive system Gastroenterology
spellingShingle	RC799-869 Diseases of the digestive system Gastroenterology Salleh, Syahrul Anuar A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang
description	Background: Options of surgery are still controversial in young adults with uncomplicated indirect inguinal hernia. The purpose of this study is to evaluate outcomes of herniotomy in young adults with uncomplicated indirect inguinal hernias. Methods: This is a retrospective cross-sectional study of case record of patients aged between 15 and 34 years old who were diagnosed to have uncomplicated indirect inguinal hernia and underwent herniotomy in Hospital Seberang Jaya, Pulau Pinang. There are 3 aspects of outcome of the surgery in which are postoperative haematoma, chronic pain and recurrence are taken into account. Results were analyzed using desriptive analysis method. Results: A total of 117 patients aged between 15 and 34 years (Mean 23.8 ± 5.5 years), comprising 108 males and 9 females with a male:female ratio of 12:1. Majority were Malays (65.8%) followed by foreigners (22.2%). Majority had no medical history (92.3%) or surgical history (88%) and non-smoker (69.2%). Mean duration of swelling and pain before presentation was 1653.5 ± 2263.9 days and 94.98 ± 323.79 days, respectively. Majority of hernia was right-sided hernia (59.8%). 79.5% of surgery was performed under local anaesthesia and 80.34% was done as day-case surgery. Mean duration surgery was 46.38 ± 21.5 minutes. Content of hernial sac was mostly empty (72.6%). There were postoperative haematoma and recurrence occurred in 5 % and 2%of cases, respectively. There was no chronic pain. Conclusion: Herniotomy alone is sufficient in treating young adults with uncomplicated indirect inguinal hernia in term of postoperative haematoma, chronic pain and recurrence compared to other types of procedure. Moreover it can also provide extra advantages in term of manpower, duration of surgery, hospital stay, total cost of hospitalization and early recovery.
format	Thesis
qualification_level	Master's degree
author	Salleh, Syahrul Anuar
author_facet	Salleh, Syahrul Anuar
author_sort	Salleh, Syahrul Anuar
title	A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang
title_short	A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang
title_full	A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang
title_fullStr	A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang
title_full_unstemmed	A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang
title_sort	study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in hospital seberang jaya, pulau pinang
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2016
url	http://eprints.usm.my/43470/1/Dr.%20Syahrul%20Anuar%20Salleh-24%20pages.pdf
_version_	1747821221503827968

A study of herniotomy alone in young adults with uncomplicated indirect inguinal hernia in Hospital Seberang Jaya, Pulau Pinang

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