Year :
2019
| Month :
May
| Volume :
13
| Issue :
5
| Page :
PC01 - PC03
Full Version
A Study to Compare Transurethral Resection of the Prostate and Inguinal Hernioplasty as Combined and Separate Procedures
Published: May 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/41371.12910
R Ponniah Iyyappan, Anjana Vasudevan, A Ravi, Harihara Sudhan
1. Assistant Professor, Department of General Surgery, Sri Ramachandra Institute of Higher Education and Research, Formerly Sri Ramachandra University, Porur, Chennai,
Tamil Nadu, India.
2. Senior Resident, Department of General Surgery, Sri Ramachandra Institute of Higher Education and Research, Formerly Sri Ramachandra University, Porur, Chennai,
Tamil Nadu, India.
3. Professor, Department of General Surgery, Sri Ramachandra Institute of Higher Education and Research, Formerly Sri Ramachandra University, Porur, Chennai,
Tamil Nadu, India.
4. Associate Professor, Department of General Surgery, Sri Ramachandra Institute of Higher Education and Research, Formerly Sri Ramachandra University, Porur,
Chennai, Tamil Nadu, India.
Correspondence Address :
Dr. Anjana Vasudevan,
Senior Resident, Department of General Surgery, Sri Ramachandra Institute of Higher Education and Research,
Formerly Sri Ramachandra University, Porur, Chennai, Tamil Nadu, India.
E-mail: dr.anjanavasudevan@hotmail.com
Abstract
Introduction: Chance of recurring hernia depends greatly on type of surgical procedure and hernia. Practising Transurethral Resection of Prostate (TURP), hernioplasty as combined procedure is not infrequent although separate process is more followed. The combined approach of surgery could save repeated anaesthesia complications and decrease recovery time.
Aim: We appraise the result of TURP and inguinal hernia repair performed sequentially in a single session and compared to one when they are done separately.
Materials and Methods: This was a prospective study conducted from April 2015 to August 2017 at Sri Ramachandra Institute of Higher Education and Research, formerly Sri Ramachandra University, Porur, Chennai. All patients with inguinal hernia and benign prostate hypertrophy, over the age of 18 years, were divided into two groups, of 25 patients each. The first group underwent TURP and inguinal hernioplasty sequentially in a single session and the second group underwent TURP followed by inguinal hernioplasty as two separate procedures with a gap of at least seven days. A detailed history, mode of presentation and clinical examination was done for all patients. Patients below 18 years or with a history of abdominal surgery or with other types of hernia were excluded from this study. Data were analysed by using SPSS version 19.0 (IBM, USA), using mean, percentage, frequency and standard deviation, ANOVA, paired t-test.
Results: Group 1 had higher mean prostate volume (48.66±7.172) and post void residual (223.64±46.644) than Group II (32.34±32.654 and 190.84±44.534 respectively), which was significant. Comorbidities were insignificant between the groups. Mean operative time was longer for Group II (147.64±15.413) but not significantly higher than Group I (143.40±23.836). The mean length of hospital stay was significantly longer in Group II (9.44±1.557) than Group I (6.04±2.051). Patients in both groups had no significant difference in minor complication such as bleeding and clot retention.
Conclusion: Combined TURP and inguinal hernioplasty is safe and an effective operative.
Keywords
Hospital stay, Inguinal hernia repair, Recurring hernia
DOI: 10.7860/JCDR/2019/41371.12910
Date of Submission: Feb 26, 2019
Date of Peer Review: Mar 12, 2019
Date of Acceptance: Apr 26, 2019
Date of Publishing: May 01, 2019
FINANCIAL OR OTHER COMPETING INTERESTS: None.
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