A Study of the Demography, Clinical Features and Management of Inguinal Hernia in a Tertiary Care Hospital

A Study of the Demography, Clinical Features and Management of Inguinal Hernia in a Tertiary Care Hospital to early 1800s physicians such as Hasselbach, Cooper, Camper, Scarpa, Richter, and Gimbernat identified the vital component of inguinal region, and their contributions are reflected in the current nomenclature.By demonstrating a comprehensive understanding of the inguinal anatomy, Bassini (1844-1924) transformed inguinal hernia repair into a successful venture with minimal morbidity.The success of the Bassini's repair over, any of its predecessors, ushered in an era of tissue based repairs.Modifications of Bassini's repair were manifested in the McVay repair, as well as that of Shouldice repair.Era of tissue based repair was supplanted by the tension-free repairs with the widespread acceptance of prosthetic materials for inguinal floor reconstruction.The repair capitalized on the concept of the mypectineal orifice of Fruchaud, which was based on the notion that whatever the type of inguinal hernia, the defect lay in the integrity of the transversalis fascia.This was superior to the previous tissue based repairs in that the weakness of the transversalis fascia could be restored by bridging the defect with mesh, rather than placing the tension between tissues to close the defect.With the advent of minimally invasive surgery, inguinal hernia repair underwent its most recent transformation.Laparoscopic inguinal hernia repair has added to the armamentarium of the general surgeon, providing a technique that lessens the postoperative pain and improve recovery.Irrespective of the approach to hernia repair, the current state of surgical treatment of the inguinal hernia depends on the sound foundation of the inguinal anatomy.The application of the current technologies to this anatomical knowledge has led to successful treatment of inguinal hernias with minimal morbidity and fast recovery. EpidemiologyInguinal hernia repair is one of the most commonly performed surgical interventions, owing to its lifetime incidence and a variety of successful treatment modalities.Majority of inguinal wall hernias occur in the groin.An inguinal hernia which is, among the most common of the abdominal wall hernia, accounting for almost 75% with a lifetime risk of 27% in men and 3% in women [4].Of inguinal hernia repairs 90% are performed in males and 10% in females.