A Clinical Analysis of Adult Male Inguinal Hernia

This study included the clinical analysis of 89 cases of adult male inguinal hernia which were treated surgically at Department of Surgery in Ewha University Hospital during 5 years from January, 1979 to December, 1983. The result were as follows : 1) The incidence of inguinal hernia was about 6.2% of total patients. 2) Among 298 patients, the incidence of adult male inguinal hernia was 89 cases. 3) The location of inguinal hernia : 55 cases(61.8%) in the right, 26 cases(29.2%) in the left, 8 cases (9%)bilaterally. 4) The types of inguinal hernia were the indirect in 86 cases(96.6%), the direct in 2 cases(2.3%) and combined in 1 case(1.1%). 5) The cardinal symptoms & signs were inguinal mass(84.3%), scrotal swelling(24.7%), pain & tenderness of inguinal or scrotal region(13.5%), abdominal pain & distension(9%) and nausea & vomiting(2.2%). 6) Preoperative complications were incarceration in 6 cases(6.7%) and strangulation in 2 cases(2.2%), associated diseases were hydrcele in 10 cases(11.2%), spermatocele in 1 case (1.1%) and undescended tetes in 1 case(1.1%). 7) Spinal anesthesia was 23 cases(25.9%), epidural anesthesia was 19 cases(21.3%) and general anesthesia was 47 cases(52.8%). 8) The selected operative procedure was Bassini procedure in 51 cases(57.3%), Mc Vay procedure in 36 cases(41.1%) and Ferguson procedure in 2 cases(2.2%). 9) The rate of postoperative complication was 8 cases(9%). 10) The average duration of postoperative hospitalization was 7.3 days.