DOI: https://doi.org/10.36347/sasjs.2024.v10i10.005

Pages: 1124-1127

An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object. However, many hernias do not cause pain. This prospective observational study was conducted in the Department of Surgery, Patuakhali Medical College Hospital, Patuakhali, Bangladesh from January to June 2023. Total 50 cases included in our study. 25 consecutive adult patients with age above 18 years who underwent laparoscopic and 25 consecutive adult patients with age above 18 years who underwent open mesh repair of ventral hernias in Department of Surgery. Detailed history was recorded in all cases. Total 50 cases included in our study. 25 consecutive adult patients with age above 18 years who underwent laparoscopic and 25 consecutive adult patients with age above 18 years who underwent open mesh repair of ventral hernias in mean age of the subjects in open surgical group was 45.8±11 and laparoscopy were 46.8±12. There was no significant difference between the two groups with respect to age of the subjects (P value – 0.738). In the study who underwent open repair it was observed that, in open group 52% of subjects had paraumbilical hernia, 28 % had umbilical hernia, 12% had incisional hernia and 4% had Epigastric hernia. In laparoscopic group 40% had Paraumbilical hernia, 28% had Umbilical hernia, 28% had Incisional hernia and 4% had Epigastric hernia. This observation was statistically not significant (p value – 0.592). The diagnosis and management of inguinal hernia is best done with an interprofessional team. The majority of patients with an inguinal hernia first present to the nurse practitioner and primary care provider. These clinicians should be able to work up a patient with an inguinal hernia and make the appropriate referral to a surgeon.