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Association of Paediatric Surgeons of Bangladesh
Journal of Paediatric Surgeons of Bangladesh
Original Articles · Vol. 8 No. 2 (2017)

Paediatric inguinal herniotomy with and without exploration of inguinal canal

Cover
JPSB
Journal of
Paediatric Surgeons of Bangladesh
Published : July 2017
CONTENTSVolume 08Number 2July 2017
Editorial
Paediatric laparoscopy in Bangladesh: Current situation after over a decade of introduction
Md Jafrul Hannan
41
Review Articles
Scope of Paediatric urology in Bangladesh
Mohammed Shadrul Alam
66
Original Articles
Paediatric inguinal herniotomy with and without exploration of inguinal canal
S M Borhan Uddin, Md Abdul Wahed, Md Tahidur Rahman, Sakil Mohammad, Md Touhid Alam, Md Salahuddin
43
Dorsal double layer dartos flap in the Snodgrass technique of hypospadias repair: An experience in Dhaka Medical College Hospital
Sahadeb Kumar Das, Kaniz Hasina, Md Ashraf Ul Huq, Jaglul Gaffer Khan, S M Shafiqul Alam, Md Tawhidul Islam
47
Evaluation of post-operative outcome in different surgical management for benign adnexal mass in children
Sifat Zereen Khan, Kaniz Hasina, Jaglul Gaffer Khan, S M Shafiqul Alam
52
Superficial surgical site infections: A comparative study between elective and emergency gastrointestinal surgeries in children
Syed Abdul Adil, Md Mahbubul Alam, Partha Sarathy Majumder, Kaniz Hasina, Tahmina Hossain
58
An objective assessment of the results of hypospadias surgery
Md Abu Jafor, Sheikh Zahid Boksh, Md Samidur Rahman, Mafia Afshin Laz, A H M Abdul Hai
63
Case Reports
Endoscopy guided retrieval of gastric foreign body by mini laparotomy following peg principle in a toddler
Masfique Ahmed Bhuiyan, Kaniz Hasina, Nazmus Sakib Ferdous, Bipul Bhushon Das, S M Shafiqul Alam, Mohammed Moinul Huque, Sifat Zereen Khan
71
The Official Journal of the
ASSOCIATION OF PAEDIATRIC SURGEONS OF BANGLADESH (APSB)
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Authors

  • S M Borhan UddinAssistant Professor, Department of Pediatric Surgery, M Abdur Rahim Medical College, Dinajpur
  • Md Abdul WahedSenior Consultant, Department of Pediatrics, General Hospital, Dinajpur
  • Md Tahidur RahmanConsultant, Department of Surgery, M Abdur Rahim Medical College Hospital, Dinajpur
  • Sakil MohammadDepartment of Pediatric Surgery, M Abdur Rahim Medical College Hospital, Dinajpur
  • Md Touhid AlamDepartment of Surgery, M Abdur Rahim Medical College Hospital, Dinajpur
  • Md SalahuddinDepartment of Surgery, M Abdur Rahim Medical College Hospital, Dinajpur

Keywords

Inguinal herniotomy External oblique aponeurosis

Abstract

Paediatric inguinal herniotomy can be done with exploration of inguinal canal and without exploration of inguinal canal. The External Oblique Aponeurosis (EOA) should be closed if herniotomy was done by exploration of inguinal canal. On the other hand, herniotomy can be performed through superficial inguinal ring without exploration of inguinal canal; because superficial and deep inguinal ring were superimposed in pediatric patient. This prospective study was carried out in the department of Pediatric Surgery, M Abdur Rahim Medical College Hospital & other private hospitals in Dinajpur from July 2013 to June 2017. Total number of the patients were 180. Among them herniotomy were done without exploration (group A) of inguinal canal in 90 patients and with exploration (group B) in 90 patients. Age ranged from 1 month to 10 years in both groups. Mean time was taken to complete the operation were 23 minutes and 29 minutes in group A & group B respectively. Results were uneventful in 85 and 83 patients in group A & group B respectively. Superficial wound infection occurred in 01 in group A and 02 patients of group B. Scrotal swelling occurred in 04 and 05 patients in group A and group B respectively. No recurrence or death was occurred in both groups of patients. The overall outcome of inguinal herniotomy was found better in group A patients. So Pediatric inguinal herniotomy without exploration of inguinal canal could be a better option than that of conventional procedure.

Journal of Paediatric Surgeons of Bangladesh (2017) Vol. 8 (2): 43–46

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