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Study of Role of Stoppas Technique for Repair of Inguinal Hernias

K. Lokesh, Assistant Professor, Depatment of General Surgery, Narayana Medical College, Nellore, Andhra Pradesh 524003, India. , B. Gopi Krishna1 , K. Lokesh2

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New Indian Journal of Surgery 9(3):p 308-311, May-June 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.11

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Abstract

Context: Inguinal hernias are commonly performed operations. Stoppa’s repair is one which uses large prosthetic mesh in preperitoneal plane covering myopectineal orifice. Present study is done to know the role of Stoppa’s repair in bilateral, recurrent and unilateral hernias which are at the risk of recurrence.
Aim: To study the role of Gaint Prosthetic reinforcement of visceral sac in treatment of groin hernias.

Settings and Design: Prospective, Observational study done in government Hospital.

Methods and Material: 30 cases of Bilateral, recurrent, unilateral inguinal and femoral hernias were selected. Demographic data, smoking, COPD, BPH were noted. Post op hospital stay and complications were recorded.

Statistical analysis used: Descriptive statistical analysis has been carried out in the present study.

Results: Out of 30 patients 12 had bilateral, 17 unilateral of which 5 were recurrent, 1 was femoral hernia. All were males between 41 to 60 years. 43 % of patients had associated pain with swelling in groin. Direct hernia was common. Risk factor for recurrence was smoking, COPD, BPH, Poor abdominal tone. Duration of surgery was 60 min. Post op was uneventful. Recurrences were not seen during follow up of 3 years.

Conclusions: Stoppa’s repair is effective and safe procedure hernias which are at high risk of recurrence. Procedure is simple, complications are low with lower recurrence rate.

Keywords: Stoppa’s repair; Inguinal Hernia; Femoral Hernia

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9318.11

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