مجله دانشکده پزشکی اصفهان (Feb 2011)
Results of Inguinal Hernia Repair with and without Opening External Ob-lique Muscle Fascia in Children Under 6 Years
Abstract
Background: Inguinal herniotomy is the most common operation in pediatric surgery. The aim of this study was to compare two methods of herniotomy with and without opening external oblique muscle fascia. Methods: 49 patients with inguinal hernia were surveyed in two groups. 25 patients were operated without opening (close surgery) and 24 with opening (open surgery) of facia in Alzahra Hospital, Isfahan. Data of age, sex, postoperative complications (score of pain and firmness of wound), time of surgery and anesthesia were analyzed with t-test and chi-square at the meaningful level of P < 0.05. Finding: No meaningful different was observed in age and sex between the two groups. The score of postoperative pain, mean time of operation and anesthetia were less in close surgery group but the difference was not significant. The mean of firmness was less in close surgery group significantly (P < 0.001). No recurrence of hernia was observed in any of patients of two groups in one year follow-up. Conclusion: Inguinal herniotomy without opening of fascia was effective as another procedure with fewer complications.
