Role of Scrotal Support to Prevent Scrotal Edema After Inguinal Hernioplasty: Scrotal Support to Prevent Scrotal Edema

Afshan  Nafees; Muhammad  Ghayasuddin; Muhammad  Ali; Imran   Jariullah; Ramsha  Waseem; Ali  Ekram; Kinza Fatima; Mohammad  Hasan

doi:10.54393/pjhs.v4i05.752

Authors

Afshan Nafees Kulsoom Bai Valika Social Security Hospital, Karachi, Pakistan
Muhammad Ghayasuddin Kulsoom Bai Valika Social Security Hospital, Karachi, Pakistan
Muhammad Ali Kulsoom Bai Valika Social Security Hospital, Karachi, Pakistan
Imran Jariullah Kulsoom Bai Valika Social Security Hospital, Karachi, Pakistan
Ramsha Waseem Kulsoom Bai Valika Social Security Hospital, Karachi, Pakistan
Ali Ekram Department of Orthopaedics, Civil Hospital, Karachi, Pakistan
Kinza Fatima Department of Neurosurgery, Civil Hospital, Karachi, Pakistan
Mohammad Hasan Department of Internal Medicine, Jinnah Post Graduate Medical Centre, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i05.752

Keywords:

Inguinal Hernia, Scrotal Edema, Scrotal Support

Abstract

Inguinal hernia is a quite common condition that is often seen in the elderly as compared to younger patients. Objective: To find out the prevalence of patients developing scrotal edema after inguinal hernioplasty and evaluate the role of scrotal support in avoiding it in our setting. Methods: We conducted a cross-sectional study at K.V.S.S. Site Hospital, Karachi for the period of January 2021 to December 2022. All the data that were collected and analyzed on the latest version of SPSS. The frequencies calculated for the categorical data while the mean found for the numerical data. The chi-square test was run to find out the effectiveness of scrotal support in reducing the frequency of scrotal swelling. A p-value of less than 0.05 was considered significant. Results: 50(55.6%) patients were in the age group of 50-70 years. The majority were smokers (66.7%) and had a BMI>30 (83.3%). 40(44.4%) patients had a significant surgical history. The majority of the patients in our study had diabetes (66.7%). 59% of the patients in our study had an indirect hernia. 25(27.8%) patients who were not given scrotal support developed scrotal edema however only 1(1.1%) who were provided scrotal support immediately after the surgery developed scrotal edema. The association between scrotal support and scrotal edema was statistically significant (p<0.01). Conclusions: Scrotal support has a positive role in preventing scrotal edema in our study.

References

Purkayastha S, Chow A, Athanasiou T, Tekkis P, Darzi A. Inguinal hernia. BMJ Clinical Evidence. 2008 Jul; 2008: 0412.

Shah DK and Sagar J. Massive penoscrotal haematoma following inguinal hernia repair: a case report. Journal of Medical Case Reports. 2008 Dec; 2: 1-3. doi: 10.1186/1752-1947-2-357. DOI: https://doi.org/10.1186/1752-1947-2-357

Pollak R and Nyhus LM. Complications of groin hernia repair. Surgical Clinics of North America. 1983 Dec; 63(6): 1363-71. doi: 10.1016/S0039-6109(16)43194-4. DOI: https://doi.org/10.1016/S0039-6109(16)43194-4

Turrentine FE, Wang H, Simpson VB, Jones RS. Surgical risk factors, morbidity, and mortality in elderly patients. Journal of the American College of Surgeons. 2006 Dec; 203(6): 865-77. doi: 10.1016/j.jamcollsurg.2006.08.026. DOI: https://doi.org/10.1016/j.jamcollsurg.2006.08.026

Patti R, Aiello P, Di Vita G. Improvement of quality of life in elderly after inguinal hernioplasty. BMC Geriatrics. 2011 Aug; 11(Suppl 1): A44. doi: 10.1186/1471-2318-11-S1-A44. DOI: https://doi.org/10.1186/1471-2318-11-S1-A44

Zieren J, Zieren HU, Wenger F, Müller JM. Repair of inguinal hernia in the elderly. Results of the plug-and-patch repair with special reference to quality of life. Der Chirurg; Zeitschrift fur Alle Gebiete der Operativen Medizen. 2000 May; 71(5): 564-7. doi: 10.1007/s001040051103. DOI: https://doi.org/10.1007/s001040051103

Nahme AE. Groin hernia in elderly patients: Management and prognosis. American Journal of Surgery. 1983; 146: 257-60. doi: 10.1016/0002-9610(83)90386-0. DOI: https://doi.org/10.1016/0002-9610(83)90386-0

Hariprasad S and Srinivas T. Clinical study on complicated presentations of groin hernias. International Journal of Research and Medical Sciences. 2017 Aug; 5(8): 3303-8. doi: 10.18203/2320-6012.ijrms20173159. DOI: https://doi.org/10.18203/2320-6012.ijrms20173159

Forte A, D'urso A, Gallinaro LS, Bosco MR, Vietri F, Beltrami V. Complications of inguinal hernia repair. Il Giornale di Chirurgia. 2002 Mar; 23(3): 88-92.

Kamran H, Khan MA, Rafiq MK, Khan AG, Waheed A, Amin R. Evaluation Of Darn Repair For Recurrence Rate In The Management Of Indirect Inguinal Hernia. Journal of Ayub Medical College Abbottabad-Pakistan. 2021 Apr; 33(2):198-201.

Saber A, Ellabban GM, Gad MA, Elsayem K. Open preperitoneal versus anterior approach for recurrent inguinal hernia: a randomized study. BMC Surgery. 2012 Dec; 12: 1-6. doi: 10.1186/1471-2482-12-22. DOI: https://doi.org/10.1186/1471-2482-12-22

Shah J, Middleton S, Derodra J. Massive scrotal haematoma: a complication of percutaneous transluminal angioplasty. International journal of Clinical Practice. 2001 Dec; 55(10): 722-. doi: 10.1111/j.1742-1241.2001.tb11171.x. DOI: https://doi.org/10.1111/j.1742-1241.2001.tb11171.x

Joseph MG and O'Boyle PJ. The'hitch-stitch'and drain technique for the prevention of inguinoscrotal haematoma following complicated inguinoscrotal surgery. Journal of the Royal College of Surgeons of Edinburgh. 1989 Apr; 34(2): 104-5.

Tanović H, Mesihović R, Muhović S. Randomized trial of TEP laparoscopic hernioplasty versus Bassni inguinal hernia repair. Medicinski Arhiv. 2005 Jan; 59(4): 214-6.

Tanimola AG, Talabi AO, Sowande OA, Adejuyigbe O. Comparison of the Inguinal and High Scrotal Approaches for the Treatment of Inguinal Hernias in Boys. Ethiopian Journal of Health Sciences. 2021 Jul; 31(4): 771-8.

Garg G, Goyal S, Karnal H. Face-mask as scrotal support to reduce incidence of scrotal cdema (post inguinoscrotal surgery). Innovative Journal of Medical and Health Science. 2013 Nov; 3(6): 291-3.

Archer A, Choyke PL, O’Brien W, Maxted WC, Grant EG. Scrotal enlargement following inguinal herniorrhaphy: ultrasound evaluation. Urologic Radiology. 1988 Dec; 9: 249-52. doi: 10.1007/BF02932679. DOI: https://doi.org/10.1007/BF02932679

Oesterling JE. Scrotal surgery: a reliable method for the prevention of postoperative hematoma and edema. The Journal of Urology. 1990 Jun; 143(6): 1201-2. doi: 10.1016/S0022-5347(17)40224-2. DOI: https://doi.org/10.1016/S0022-5347(17)40224-2

Kosternoy A and Bayumi EK. Effect of Scrotal Hitching In Reducing Scrotal Edema after Inguinoscrotal Hernia Repair. IOSRJournal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN. :2279-0853.

Liem MS, Van Duyn EB, van der Graaf Y, van Vroonhoven TJ, Coala Trial Group. Recurrences after conventional anterior and laparoscopic inguinal hernia repair: a randomized comparison. Annals of Surgery. 2003 Jan; 237(1): 136. doi: 10.1097/00000658-200301000-00019. DOI: https://doi.org/10.1097/00000658-200301000-00019

Alp BF, Irkilata HC, Kibar Y, Zorba U, Sancaktutar AA, Kaya E, et al. Comparison of the inguinal and scrotal approaches for the treatment of communicating hydrocele in children. The Kaohsiung Journal of Medical Sciences. 2014 Apr; 30(4): 200-5. doi: 10.1016/j.kjms.2013.11.006. DOI: https://doi.org/10.1016/j.kjms.2013.11.006

Gökçora IH and Yagmurlu A. A longitudinal follow-up using the high trans-scrotal approach for inguinal and scrotal abnormalities in boys. Hernia. 2003 Dec; 7: 181-4. doi: 10.1007/s10029-003-0136-y. DOI: https://doi.org/10.1007/s10029-003-0136-y