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Journal of Cardiovascular Medicine and Surgery

Volume  5, Issue 2, Apr-June 2019, Pages 85-88
 

Original Article

Study to Compare Classical Herniotomy versus Newer Method of Non Ligation Herniotomy: Our Institutional Experience

Atul Khalkar, Satish Phatake, Sunil Mhaske, Prajakta Ghatage, Dhananjay Choudhary,

1 Associate Professor, Department of Surgery, 2  Associate Professor, Department of Medicine, 3 Dean Department of Paediatrics 4,5 Resident, Department of Paediatrics, Dr. Vithalrao Vikhe Patil Foundation's Medical College, Ahmednagar, Maharashtra 414111, India.

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DOI: http://dx.doi.org/10.21088/jcms.2454.7123.5219.6

Abstract

Objective: To compare outcome in terms of recurrence and complications in children operated by classical method of herniotmy with sac ligation versus newer method of non ligation of sac. Material and method: 100 children birth to 14 years of age with inguinal hernia were included in study conducted for 1 year. Exclusion criteria were children with high chances of recurrence like comlicated hernia, incarcenated hernia. Total of 82 patients gave consent to participate in study. The total children were divided into 2 groups randomly and operated by classical and newer method of herniotomy. The children were foloowed up for a time span of 1 year for any complications. Results: There was only 3 case of recurrent hernia in the control group, and none in the study group. There was no statistically significant difference of complications in study and control group. Conclusions: This study showed that hernial sac ligation after its transection is not necessary in pediatric herniotomy. Omitting ligation did not result in any significant complications in children.

 


Keywords : Herniotomy; Inguinal hernia
Corresponding Author : Satish Phatake