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Hernia Sac of Indirect Inguinal Hernia: Invagination, Excision, or Ligation? by I. Othman; H. A. Hady is a Medicine article available to read on EtoBox.

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This study compares the effect of invaginating excision of hernia sac without ligation with the traditional method of high ligation of the hernia sac on postoperative pain and recurrence. ## Patients and methods: This multicenter prospective randomized study included 152 patients with 167 primary indirect inguinal hernias. in group i (54 hernias), the sac was not opened and was inverted with the finger into the peritoneal cavity. in group e (56 hernias), the sac was excised at the neck without ligation. in group l (57 hernias), the sac was transfixed at the neck and excised in the traditional manner. the repair of the posterior wall of the inguinal canal was done according to lichtenstein tension-free technique. mean length of follow-up was 81.50 ± 22.34, 79.35 ± 26.76, and 77.83 ± 21.26 months, respectively. ## Results: Postoperative seroma occurred in 1 patient (0.60%) in group e and 1 patient (0.60%) in group l. surgical site infection occurred in 2 patients (1.20%) in group i, 1 patient (0.60%) in group e, and 2 patients (1.20%) in group l. mean postoperative pain score was 3.04 ± 2.11, 3.98 ± 2.33 and 4.06 ± 2.43, respectively (p: 0.049). chronic pain occurred in 3 patients in

Who reads Hernia Sac of Indirect Inguinal Hernia: Invagination, Excision, or Ligation??

Author

I. Othman; H. A. Hady

Publisher

Springer Science and Business Media LLC

Published

2013

Language

EN

Field

Medicine (Health Sciences)