A Prospective Clinical Study to Evaluate Recurrence and Infection in Laparoscopic Hernia in a Tribal Area

Abstract

Background: Safe surgical service is mostly inaccessible to most of the poor tribal population of the
Gadchiroli district of Maharashtra. Temporary multidisciplinary surgery camps can be the answer, but its
safety and cost-effectiveness were always questioned.
Method: This is a prospective interventional study included 172 laparoscopic ally operated cases of inguinal
hernia at Hemalkasa camp from 2015 up to 2020. Along with a study of clinical parameters like demography,
infection and recurrence were evaluated.
Results: Most of cases in an age group of 20- 40 years and belong to the male gender with a presentation
as indirect inguinal hernia. The right side was outnumbered than left. Mesh was not fixed and a single dose
of antibiotic prophylaxis was administered. A promising zero infection rate was observed with recurrence
was only in 4(2.3%) cases. Most of the patients were operated by the TEP method. Clinical presentation was
reducible swelling in groin in maximum patients. The average operative time was 60 minutes. There were
no intraoperative (neurovascular, visceral) and any post-operative complications. 4 days early return to work
time was noted with very high acceptability laparoscopic surgery in tribals was observed.
Conclusions: Laparoscopic hernia repair in tibal people in multi diagnostic camps is found to have acceptable
and good results. It is a safe as having zero infection and minimal recurrence rate. This procedure is also
having less postoperative pain and discomfort, cosmetically good with early return.