The Postoperative Outcomes Between Patients Who Had Modified Ferguson with Those Who Had Mitchell Bank’s Herniotomy

Abstract

ABSTRACT:

Background

The commonest inguino-scrotal ailments in children are hernia and hydrocele. Hence, herniotomy remains the commonest operative procedure performed by the Paediatric surgeons. The main objective is to compare early post operative complications especially scrotal oedema or haematoma following the modified Ferguson (incision of the external oblique) and Mitchell Bank ( non incision  of the external oblique ).

Materials and methods

It’s a prospective and single blind study carried out between May 2017 and April 2018 at the University Ilorin Teaching Hospital Ilorin, Kwara state. A total of 70 patients were randomized into 2 groups ; modified Ferguson ( n=35 ) and Mitchell Bank ( n=35 ) methods of herniotomy. The patients were then followed up for 30 days to study the outcome. Data generated was analysed using SPSS software and 95% confidence interval was used, a p value <0.05 was considered statistically significant.  

Results

The age range of the subjects was 2-15 years with a median of 4.13 years, majority had normal (71.4%) weight, while 20.6% were underweight. About 74.3% had right sided hernias/hydrocele. The mean duration of the surgery was 22.9±6.3  and  33.5±10.3 for MBH and MFH (P<0.001), length of surgical incision was longer in MFH (3.11 ± 0.55 cm) compared to MBH (2.22 ± 0.41 cm) (P< 0.001); There were 4 and 5 postoperative complications noted  among those with MBH and MFH respectively, however, it was not statistically significant .(P=0.761)

Conclusion

The study showed that the incidence of post operative complications were similar between the 2 groups, however, the duration of surgery and length of incision was longer in MFH compared to MBH. Therefore, when there is time constraint MBH is preferred.

KEYWORDS:  Modified Ferguson Herniotomy, Mitchell Bank Herniotomy, Scrotal Oedema,  Haematoma