Abstract

Aims & Objectives: To study the groin hernias in adult and its outcome in terms of clinical presentation, precipitating factors, intra-operative findings & complications. Materials and Methods: This prospective clinical observational study was carried out in 400 patients with complaints related to the groin region to the department of general surgery in a tertiary care center over a period of 2 years after ethical committee approval. Observation & Results: In this study inguinal swelling was the most common presentation in (77.25%), followed by localized pain in swelling (12%), localized pain in swelling with vomiting (2.25%) localized pain, vomiting And constipation in (5.75%) and distention in (1.25%) patients.The male-to-female ratio of groin hernia was 13.3, indicating a male preponderance. Unilateral groin hernias (83.5%) with right sided preponderance (49.75%) were more common than bilateral cases (16.5%) Uncomplicated groin hernias were seen in 86.75% patients while complications were seen in 12.25% patients as irreducible (6.75%), obstructed (4.25%) and strangulated (2.25%) In emergency operated case 1 patient had anastomostic leak in post-operative period and patient later succumbed. In 2.25% emergency and 1.5% elective patients had surgical site infection. Conclusion: In this study we found an association between groin hernias&various precipitating factors, comorbidities and occupation .Both complicated and uncomplicated groin hernias are most common in males. Uncomplicated groin hernias are more prevalent than complicated ones. Uncomplicated groin hernias are posted for elective hernia repair &are managed by Lichtenstein’s tension free mesh repair while incidence of complicated groin hernias is low and requires emergency surgical management &is associated with high morbidity and mortality.

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