Overlapping (Double Breasting) Of External Oblique Aponeurosis In Inguinal Hernia Repair.

Abstract

The results of overlapping (double breasting) the external oblique aponeurosis in inguinal hernia repair and to see the recurrence and other complications after one year follow up are presented. Patients of age above 19 years with inguinal hernia were admitted from March 1996 to October 1996 in Surgical Unit-1 of Lahore General Hospital, Lahore. One hundred patients of age above 19 years with inguinal hernia were included. Overlapping (double breasting) of external oblique aponeurosis in inguinal hernia repair had no recurrence after one year follow up. Out of one hundred patients with inguinal hernia above 19 yeas of age 39 were from 19 to 30 years of age, 18 from 30- 50 years of age and 43 were above 50 years. All cases were of male sex. 68 of patients had indirect inguinal hernia, 30 had direct while 2 had pantaloons hernia. 15 patients had constipation, 12had chronic cough and 3 had complain of chronic straining at micturition, 61 of patients were smokier and 39 were non-smoker. 52 patients were operated under general anaesthesia. 27 under spinal, 16 under local while 5 were operated under epidural anaesthesia. 3 of patients developed postoperative haematoma, 5 had scrotal edema, 2 patients had postoperative pain at inguinoscrotal region. After one years of follow up no patient came with recurrence. This technique of overlapping (double breasting) of external oblique aponeurosis is recommended in all types of inguinal hernial repair.