LIGATION OF THE INDIRECT INGUINAL HERNIA SAC: IS IT AXIOMATIC? A CONTINUED STUDY

The hernial sac does not play a crucial role in the problem of hernia. Hence ligation of this sac should not be taken as an axiomatic step. We have operated on 30 patients (Continuous study) aged between 6 months to 60 years, where the hernial sac has not been ligated but has only been divided at the level of deep inguinal ring. The peritoneum was then allowed to fall back and a standard Bassini's repair using 2/0 Prolene was done in each case except in 5 children where no such repair was done. In this study, the severity of pain was divided into mild pain requiring no drug, moderate pain requiring only oral drugs and severe pain requiring injectable analgesics. On the rst postoperative day 25 out of 35 patients had severe pain and they required injectable analgesics. There was dramatic change on the second day only 4 patients had severe pain. There was only one complication in the form of wound infection on third postoperative day but it cleared off by the 10th day and no complications were observed during follow up. 19 patients turned up in the follow up and no recurrence was noted in any of the patients.