Abstract

• 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.