Muhammad Hamza, Irfan Ahmed Nadeem.
Groin Fold Skin Incision Approach for Repair of the Inguinal Hernias.
J Surg Pak Jan ;22(4):138-42.

Objective: To assess the feasibility, safety, operative time, postoperative patients? comfort, and complication following groin fold skin incisional approach for the management of the inguinal hernias. Study design: Descriptive case series. Place & Duration of study: Al Noor Surgery hospital in Chakwal Pakistan, from January 2014 to December 2015. Methodology: Patients with inguinal hernias of both genders were included. All patients were operated through groin fold incision. Data were analyzed using SPSS 21 version. Descriptive statistics were used to present data. Results: A total of 204 patients were included. Grion fold incisional approach was made. It was successful in all cases. Mean operative time was 37.56 ± 7.47 minutes and mean hospital stay of 5 hours. There was no injury to the femoral vessel, vas deferens or testes in any patient. No cases required orchiectomy. Majority (n=185 - 90.70%) of patients had no postoperative pain. Three (1.4%) patients developed wound infection. No recurrence occurred at one year of follow up. One hundred and ninety seven (96.6%) patients appreciated minimally apparent scar as it was hidden in natural groin fold. Conclusion: Groin skin fold incision was safe, cosmetically appealing with minimal pain and wound infection without recurrence.

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