JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2019 Month : October Volume : 6 Issue : 43 Page : 2814-2817

Incidence of Inguinal Hernia Post Open Appendectomy - An Observational Study

Varun Dogra1, Ishfaq Ahmad Gilkar2, Umer Mushtaq3, Javid Ahmad Peer4, Yaqoob Hassan5, Farzanah Nawreen6

Corresponding Author:
Dr. Umer Mushtaq,
Senior Resident,
Department of Surgery,
Government Medical College,
Srinagar, Kashmir.
E-mail: drahmad.ahmadgmc2014@gmail.com
DOI: 10.18410/jebmh/2019/584

ABSTRACT
BACKGROUND
Acute appendicitis is the most common surgical emergency faced in today's world. Inguinal hernia is the most common type of hernia seen in surgical practice. It can be of a direct and an indirect type. While the indirect type has a congenital cause, direct hernias are attributable to weakness of abdominal musculature. In this study, we aim to calculate the incidence of inguinal hernia following open appendectomy from a tertiary care prospective.

METHODS
This was a prospective observational study that was carried out over a period of three years. All patients who visited our OPD and had a history of Open Appendectomy were included in the study. After a thorough history, a comprehensive physical examination was carried out in these patients to rule out any evidence of inguinal hernia. The data was tabulated in the form of tables and graphs.

RESULTS
There were 918 patients in the study out of which 488 were male- and 430 were female-patients. There were 64 cases of inguinal hernia in this study which amounts to an incidence rate of 6.97%. However, it is the relation of direct right inguinal hernia to open appendectomy which catches attention. It alone has an incidence of 4.90% which can largely be attributed to damage to nerves during the procedure.

CONCLUSIONS
There is a high incidence of inguinal hernia associated with open appendectomy which could be avoided to a large extent if the surgical principles are followed.

KEYWORDS
Appendectomy, Inguinal Hernia, Appendicitis