{"title":"结扎间接腹股沟疝囊:这是公理吗?继续研究","authors":"Sudhanshu Sharma, Obaidulla Obaidulla, Renu Kumari","doi":"10.36106/ijsr/4703272","DOIUrl":null,"url":null,"abstract":"The hernial sac does not play a crucial role in the problem of hernia. Hence ligation of this sac should not be taken as an axiomatic step. We have\noperated on 30 patients (Continuous study) aged between 6 months to 60 years, where the hernial sac has not been ligated but has only been divided\nat the level of deep inguinal ring. The peritoneum was then allowed to fall back and a standard Bassini's repair using 2/0 Prolene was done in each\ncase except in 5 children where no such repair was done. In this study, the severity of pain was divided into mild pain requiring no drug, moderate\npain requiring only oral drugs and severe pain requiring injectable analgesics. On the rst postoperative day 25 out of 35 patients had severe pain\nand they required injectable analgesics. There was dramatic change on the second day only 4 patients had severe pain. There was only one\ncomplication in the form of wound infection on third postoperative day but it cleared off by the 10th day and no complications were observed\nduring follow up. 19 patients turned up in the follow up and no recurrence was noted in any of the patients.","PeriodicalId":14358,"journal":{"name":"International journal of scientific research","volume":"15 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"LIGATION OF THE INDIRECT INGUINAL HERNIA SAC: IS IT AXIOMATIC? A CONTINUED STUDY\",\"authors\":\"Sudhanshu Sharma, Obaidulla Obaidulla, Renu Kumari\",\"doi\":\"10.36106/ijsr/4703272\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The hernial sac does not play a crucial role in the problem of hernia. Hence ligation of this sac should not be taken as an axiomatic step. We have\\noperated on 30 patients (Continuous study) aged between 6 months to 60 years, where the hernial sac has not been ligated but has only been divided\\nat the level of deep inguinal ring. The peritoneum was then allowed to fall back and a standard Bassini's repair using 2/0 Prolene was done in each\\ncase except in 5 children where no such repair was done. In this study, the severity of pain was divided into mild pain requiring no drug, moderate\\npain requiring only oral drugs and severe pain requiring injectable analgesics. On the rst postoperative day 25 out of 35 patients had severe pain\\nand they required injectable analgesics. There was dramatic change on the second day only 4 patients had severe pain. There was only one\\ncomplication in the form of wound infection on third postoperative day but it cleared off by the 10th day and no complications were observed\\nduring follow up. 19 patients turned up in the follow up and no recurrence was noted in any of the patients.\",\"PeriodicalId\":14358,\"journal\":{\"name\":\"International journal of scientific research\",\"volume\":\"15 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International journal of scientific research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.36106/ijsr/4703272\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International journal of scientific research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.36106/ijsr/4703272","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
LIGATION OF THE INDIRECT INGUINAL HERNIA SAC: IS IT AXIOMATIC? A CONTINUED STUDY
The hernial sac does not play a crucial role in the problem of hernia. Hence ligation of this sac should not be taken as an axiomatic step. We have
operated on 30 patients (Continuous study) aged between 6 months to 60 years, where the hernial sac has not been ligated but has only been divided
at the level of deep inguinal ring. The peritoneum was then allowed to fall back and a standard Bassini's repair using 2/0 Prolene was done in each
case except in 5 children where no such repair was done. In this study, the severity of pain was divided into mild pain requiring no drug, moderate
pain requiring only oral drugs and severe pain requiring injectable analgesics. On the rst postoperative day 25 out of 35 patients had severe pain
and they required injectable analgesics. There was dramatic change on the second day only 4 patients had severe pain. There was only one
complication in the form of wound infection on third postoperative day but it cleared off by the 10th day and no complications were observed
during follow up. 19 patients turned up in the follow up and no recurrence was noted in any of the patients.