Comparison Of The Effectiveness Of Various Surgical Interventions For Inguinal Hernia Repair In A Territory Care Hospital

Abstract

118 cases were gathered for the study, which was supported over six months at the KIMS hospital in Secunderabad. The data was obtained from patient case sheets from the gastrointestinal department where the patients received surgery. A total of 118 subjects were enrolled in the research, for the study. From the total population considered in this study, 73 were males with a percentage of 61.86%, and 45 were females with a percentage of 38.14%. The rate of male patients is high when compared to female patients. The distribution is as follows 18 to 29 age group has 7 patients, the 30 to 39 age group has 19 patients, the 40 to 49 age group has 27 patients, the 50 to 59 age group has 25 patients, the 60 to 69 age group has 31 patients, 70 to 80 age group has 9 patients and their percentages are as follows 5.93%, 16.10%,22.88%, 21.18%, 26.27%, 7.62% respectively. Out of these 102 members have comorbidities with a percentage of 86% and 16 members do not have any comorbidities denoting 14% of the total population. OHR shows an average recovery time of 10 – 21 days, LHR 7 – 10 days, and RALR 7 – 9 days of average recovery time. In the present clinical study, Most cases (26.27%) were in the 60–69 age group, reflecting age-related muscle weakening and comorbidities, while the youngest age group (18–29) had the least cases (5.93%). Males accounted for 61.86% of cases, suggesting potential physiological or behavioral factors. 86% of patients had coexisting conditions, with hypertension (27.4%) and diabetes mellitus (16.6%) being the most common. These conditions likely exacerbate hernia risks by weakening the abdominal wall. Open Hernia Repair (OHR) was the most common procedure (49.15%), favored for its cost-effectiveness and suitability for older, high-risk patients. Laparoscopic Hernia Repair (LHR) (35.59%) and Robot-Assisted Laparoscopic Repair (RALR) (15.25%) were less frequent but offered benefits like shorter recovery times and less postoperative pain. OHR had the longest recovery time (10–21 days), while LHR and RALR patients recovered faster (7–10 and 7–9 days, respectively). Younger patients preferred LHR and RALR for their minimally invasive nature, while older patients opted for OHR. The study highlights the importance of tailoring surgical recommendations based on patient profiles, comorbidities, and recovery needs. Preventive strategies, including lifestyle modifications to reduce physical strain and smoking, can also lower hernia risks.