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Paediatric Inguinal Herniotomy and Open Orchidopexy as a Day Care Surgery in a Tertiary Care Institute

Roshan Chanchlani , Roshan Chanchlani

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New Indian Journal of Surgery 7(3):p 293-295, Sept - Dec 2016. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.7316.14

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Abstract

 Objective: To study the feasibility and outcome of day care paediatric inguinal herniotomy and open orchidopexy surgery. Methodology: This retrospective study was conducted in Chirayu Medical College hospital of Bhopal from 01­01­2012 to 01­01­ 2016. Male and female paediatric patients (n=100) who underwent inguinal herniotomy and orchidopexy were studied. The data was recorded and analyzed in Microsoft Excel 2007. Results: The mean age of the patients was 21.32±5.12 months. Out of 100 patients, 70(70%) underwent herniotomy and 30 (30%) patients underwent orchidopexy. Out of the 100 patients operated, 82(82%) were discharged on the same day whereas 18(18%) patients were discharged on the next day. Out of 70 patients with herniotomy, 56 (80%) were discharged the same day whereas 14 (20%) were discharged the next day. Out of 30 patients with orchidopexy, 26 (86.6%) were discharged the same day and 4(13.4%) were discharged next day. Immediate Post operative problems (18 pts) leading to delay in discharge was due to pain, nausea, vomiting, urinary retention ,headace,drowsiness and local swelling.. No complications were reported on 4 weeks follow up. Conclusion: Day case herniotomy and orchidopexy in a paediatric population is safe with minimal complications in the immediate postoperative period and should be recommended in developing countries with high volume surgical load.

Keywords: Paediatric Herniotomy; Orchidopexy; Day Case Surgery.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.7316.14

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