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TITLE:

ANALYSIS OF EFFECT OF CHRONIC CONSTIPATION ON THE DEVELOPMENT OF INGUINAL HERNIATION

AUTHORS:

Dr Waqas Ahmad, Dr Hamza Mustafa, Dr Danial Haider

ABSTRACT:

Introduction: Inguinal hernia repair is an extremely common operation performed by surgeons. More than 800,000 repairs performed annually. Objectives: The main objective of the study is to analyse the effect of chronic constipation on the development of inguinal herniation. Material and methods: This observational study was conducted in DHQ hospital, Faisalabad during March 2019 to November 2019. The patients included in the study group (group 1) were selected from patients with inguinal hernias with no other chronic disease who attended to the General Surgery Outpatient Unit. The control group (Group 2) was selected from patients who had no inguinal hernia complaints, no constipation and no other chronic disease which could increase the intra-abdominal pressure. Results: The mean age of patients in Group 1 and 2 was 40.92 ± 17.80 and 33.71 ± 9.13, respectively. There was a significant difference between the two groups in terms of obstructive defecation and colonic inertia sub-scale scores (p < 0.01). A comparison between Group 1 and 2 in terms of OD sub scale score, CI subscale score, pain subscale score, and total scores showed significantly higher scores in Group 1 than in Group 2, except for the pain subscale. A statistically significant difference in all sub-scale scores of the CSS according to type was found among patients in Group 1, except for pain sub-scale scores. Conclusion: It is concluded that chronic constipation may facilitate the development of inguinal hernias through an increase in intra-abdominal pressure

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