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Nigerian Journal of Surgery

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A 5‑year Review of Darning Technique of Inguinal Hernia Repair

OO Olasehinde, AO Adisa, EA Agbakwuru, AC Etonyeaku, OA Kolawole, AO Mosanya

Abstract


Context: The Darning technique of inguinal hernia repair is a tissue‑based technique with documented low recurrence rate in some parts of the world. Though practiced in our setting, little is documented on its outcome.
Aims: The aim was to review the outcome of Darning technique of inguinal hernia repair in our setting.
Study Design: A descriptive retrospective study.
Patients and Methods: Clinical records of all patients who had inguinal hernia repair using the Darning technique between January 2007 and December 2011 in our institution were obtained. Details of sociodemographic data, intraoperative findings and postoperative complications were reviewed. Statistical Analysis Used: simple frequencies, proportions and cross‑tabulations.
Results: A total of 132 patients whose ages ranged from 15 to 84 years (mean = 49.4 years) with a male: female ratio of 12:1 were studied. Majority of the hernias were right sided (68.9%), mostly indirect (81.8%). The procedures were for emergencies in 17 (12.9%) cases whereas the rest (87.1%) were done electively. Most procedures, 110 (83.3%) were performed under local anesthesia. Surgical site infection was the most common complication occurring in six patients (4.5%), while four patients (3%) had chronic groin pain. At a mean follow‑up period of 15 months there were two recurrences (1.5%) both occurring in patients with bilateral hernias (P = 0.001).
Conclusions: The Darning technique of inguinal hernia repair is a safe and effective method for inguinal hernia repair in our setting.

Keywords: Darning, hernia, inguinal




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