Outcomes of Herniotomy in Young Adults with Primary Indirect Inguinal Hernia: A Single-Center Quasi-Experimental Study at Tertiary Care Setting, Rawalpindi

Abstract

Objective: To determine the outcomes of herniotomy in young adults with inguinal hernia.
Study Design: Quasi-experimental study.
Place and Duration of Study: The study was conducted at the Department of Surgery, Combined Military Hospital (CMH), Rawalpindi, Pakistan, from January 2022 to January 2024.
Methods: Sixty-nine young patients aged between eighteen and forty years, both male and female, who presented with inguinal hernia at the surgical outpatient department were included in the study. Patients aged less than eighteen or more than forty years, those with a previous history of inguinal hernia repair, those with bilateral hernia, those with direct inguinal hernia, those with chronic cough, and pregnant females were excluded. All patients underwent herniotomy for hernia repair (performed by a surgeon with a minimum of 5s years of experience) as per standard procedural guidelines. All patients were assessed for outcomes at 6 weeks post-surgery, including pain, infection, and recurrence. Data was analyzed using SPSS 22.
Results: Mean age of patients was 31.46 ± 3.96 years. There were 57 (82.61%) male and 12 (17.39%) female patients. Mean BMI of the patients was 19.36 ± 1.38 kg/m2. Mean size of the hernia sac was 4.74 ± 0.75 cm. Mean duration for which the patient had a hernia before surgery was 10.61 ± 2.56 months. Incidence of pain after six weeks of herniotomy was 7 (10.14%). Incidence of recurrence of hernia at six-week follow-up was 3 (4.35%). The incidence of infection after six weeks following herniotomy was 1 (1.45%).
Conclusion: The recurrence rate and incidence of pain and infection at six weeks after herniotomy are quite low at 4.35%, 10.14%, and 1.45%. This demonstrates that this procedure can be adopted as a good and safe alternative to mesh repair in the younger population with inguinal hernia.

How to cite this: Ahmad M, Ahmad R, Hussain SM, Bashir S, Basit A, Shahzad A. Outcomes of Herniotomy in Young Adults with Primary
Indirect Inguinal Hernia: A Single-Center Quasi-Experimental Study at Tertiary Care Setting, Rawalpindi. Life and Science. 2026; 7(2):
156-160. doi: http://doi.org/10.37185/LnS.1.1.723