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Original Article

Comparison of the Lower Inguinal Skin Crease and Inguinoscrotal Junction Approach for the Treatment of Inguinal Hernia in Children

*Dr. K.M. Zafrul Hossain

Assistant professor, Department of Pediatric Surgery, TMSS Medical College, Bogura, Bangladesh.

Dr. Maskura Benzir

Assistant professor, Department of Anatomy, TMSS Medical College, Bogura, Bangladesh.

Dr. Md. Mijanur Rahman

Registar, Pediatric Surgery Dhaka Medical College Hospital, Dhaka.

Dr. Md. Mijanur Rahman

Registar, Pediatric Surgery Dhaka Medical College Hospital, Dhaka.

Dr. Md. Abdullah al Masud

Department of Transfusion Medicine, TMSS Medical College, Bogura, Bangladesh.

Dr. Md. Ibne Golam Sabbir

Assistant professor, Department of Surgery, TMSS Medical College, Bogura, Bangladesh.

Dr. Md Jahangir Alam

Resident Pediatric Surgery, Mymensingh Medical college

Dr. Md. Hasan ullah

Consultant pediatric Surgery, Islami Bank Hospital, Agrabad Chattogram

Dr. Masfik Ahmad

Assistant professor, Department of Pediatric Surgery, TMSS Medical College, Bogura, Bangladesh

Dr. Md. Monwar Mahmud Bhuiya

Assistant Professor, Otolaryngology & Head-Neck Surgery Dept. TMSS Medical College & Rafatullah Community Hospital, Bogura

Keywords: Lower Inguinal Skin Crease, Inguino Scrotal Junction, Inguinal Hernia, Children

Abstract

Background: Inguinal herniotomy is the most common operation performed by Pediatric Surgeons, mostly by the lower inguinal skin crease approach. Inguinoscrotal junction approach can be used as an alternative way which avoids tampering of inguinal canal and easy access to find out the patent processus vaginalis.

OBJECTIVES: This study was done to compare the outcome of herniotomy for inguinal hernia through lower inguinal skin crease and inguino scrotal junction approach in normal BMI children.

Materials and Method: This quasi-experimental study was conducted from July, 2018 to October, 2019 in the Department of Pediatric Surgery, Mymensingh Medical College Hospital, Mymensingh among the 60 patients with inguinal hernia who fulfilled the inclusion and exclusion criterion. History was recorded in a data collection sheet after taking informed written consent from the parents/ guardians. Proper clinical examinations, investigations were done.

Patients were selected considering the inclusion criteria. Approximately 60 were selected for the study. Alternatively one patient through lower inguinal skin crease and another through inguino scrotal junction approach were performed for each of the two consecutive patients and in this way one patient was selected for Group A and another for Group B.

Results: Among respondent 63.33% respondents had swelling at right side. 6.6% respondents of lower inguinal approach and 10% of inguino scrotal junction approach showed complications.

Conclusion: Inguinal herniotomy can be performed through lower inguinal skin crease or inguino scrotal junction approach without any significant difference in terms of outcome.

Original Article

Comparison of the Lower Inguinal Skin Crease and Inguinoscrotal Junction Approach

K.M. Zafrul Hossain, Maskura Benzir, Md. Mijanur Rahman et al.

ABSTRACT

Inguinal herniotomy is the most common operation performed by Pediatric Surgeons...

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July 2023 Vol 13 No 2

Pages 64-68
Published July 2023
DOI -
ISSN -
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How to cite this article

Hossain KMZ, Benzir M, Rahman MM, Rahman MM, Masud MA, Sabbir MI, et al. Comparison of the Lower Inguinal Skin Crease and Inguinoscrotal Junction Approach for the Treatment of Inguinal Hernia in Children.