Saqib Javaid, Naima Rasool, Mustafa Latif Choudhry.
Incidence of Post-Operative Complications of Inguinal Hernia and Hydrocele Open Surgery in Children.
Pak J Med Health Sci Jan ;12(2):704-6.

Background: Recent advances in inguinal hernia surgery have shifted the paradigms towards laproscopic surgery. We, in Pakistan, are mainly relying on open surgery due to various constraints yet yielding appreciable results with minimal complications. This study was conducted to document the postoperative complications of elective inguinal hernia and hydrocele open surgery in children in our setup. Methods: This descriptive study was conducted at Pediatric Surgery Department, Combined Military Hospital (CMH) Lahore, Pakistan, from September 2015 to June 2017.Patients from 10 days to 12 years of agediagnosed clinically as inguinal hernia and hydrocele were selected for the study by consecutive random sampling. Patients with incarcerated, strangulated or obstructed hernia who underwent emergency herniotomy or had other concomitant diseases were excluded. Hernia and hydrocele were operated electively through open surgery with minimal dissection. Follow up was done at 1 week, 4 weeks, 12 weeks and 24 weeks to note the postoperative complications of the surgery. Data was analyzed using SPSS 20. Results ; A total of 241 elective PPV ligations and herniotomies were performed at CMH Lahore in the duration of study. Out of these, 195 (80.91%) were male patients while 46 (19.08%) were female. Post-operative complications were noted in 41 (17.01%). Commonest being scrotal edema in 34 (14.10%), stitch granuloma in 5 (02.07%) and hematoma in 02 (0.83%) patients. No injury to vessels or vas deferens, surgical site infection, recurrence of hernia or testicular atrophy was noted. Conclusion: Open surgery for inguinal hernia and hydrocele is still a safe surgery provided vigilant approachis undertaken with minimal tissue handling, yields appreciable results with minimal postoperative complications.

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