Title: Early Postoperative Complications of Emergency Lichtenstein Hernioplasty

Authors: Ragesh Kalikkottu Valappil, Jayaraman Ramamoorthy, Sheena Krishnan

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i11.215

Abstract

Background: Lichtenstein hernioplasty is currently considered Gold Standard for inguinal hernia repair. As per recent studies the early complications of emergency Lichtenstein hernioplasty are wound seroma, ischemic orchitis, neuralgic pain, urinary infection, hematoma, local ecchymoses, testicular swelling, hydrocele, post operative fever and wound infection. The purpose of this study is to analyze the early postoperative complications of emergency Lichtenstein hernioplasty in a tertiary health center in North Kerala.

Aim of Study: To study the early postoperative complications of emergency Lichtenstein hernioplasty and the risk factors and comorbidities that predisposes to these complications.

Materials and Methods: A prospective study conducted in 100 patients admitted in the emergency Department of Surgery in Govt. Medical College, Kozhikode.

Results: Superficial Surgical Site Infections (SSI) are found to be most common post operative complications (9%) followed by urinary tract infection, hematoma, seroma, ipsilateral scrotal edema and significant inguinal pain. COPD and smoking are the comorbidity and risk factor associated with complication of emergency hernioplasty and no significant correlation found between other risk factors, comorbidities and complications.

Keywords: Lichtenstein repair, complications of hernioplasty, Emergency hernioplasty.

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