Comparison Between Ferguson's Technique and Mitchelle Bank Technique for Inguinal Herniotomy in Children

Authors

  • shafqat rehman Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Iftikhar Ahmed Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Safdar Hussain Awan Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Zahid Anwar Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Muddasir Saleem Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Tamoor Afzal Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v72iSUPPL-2.3772

Keywords:

Congenital, Ferguson's technique hydrocele, Inguinal hernia, Mitchelle bank technique

Abstract

Objective: To assess the safety of the Mitchelle bank technique for herniotomy in children by comparing its recurrence rate with conventional Ferguson's technique.

Study Design: Quasi-experimental study.

Place and Duration of Study: Paediatric Surgery Department, Pak Emirates Military Hospital, Rawalpindi Pakistan, from Sep 2018 to Sep 2019.

Methodology: Children below the age of 6 years coming to Paediatric Surgery Outpatient Department with inguinal hernia were included in the study. The patients were divided into two groups. Group-I underwent herniotomy by Mitchelle bank technique (MBT-group) while Group-II by Ferguson's technique (FT-group). The demographic characteristics of the studied population, operative time, and intra-operative and post-operative complications were recorded.

Results: The mean age of the patients was 25.94 ± 17.06 months in Ferguson's technique-group and 24.76 ± 16.63 months in the Mitchelle bank technique-group. The mean operative time was less in the Mitchelle bank technique-group (13.17 ± 1.47 minutes) as compared to Ferguson's technique-group (16.23 ± 1.51 minutes) (p<0.05). Early complications such as hydrocele, seroma and hematoma were seen in 5 (2.3%), 6 (2.6%) and 3 (1.3%) cases in Ferguson's technique-group, and 15 (6.9%), 8 (3.7%), and 9 (4.1%) cases in the Mitchelle bank technique group, respectively. Late complications such as orchitis, testicular atrophy, and recurrence were seen in 5 (2.3%), 6 (2.6%), 2 (0.9%) in Ferguson's technique group, and 6 (2.6%), 4 (1.8%), and 3 (1.3%) in the Mitchelle bank technique group (p>0.05).

Conclusion: Mitchelle bank technique is safe for herniotomy in children with less operative time and no increase in...

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Published

07-06-2022

Issue

Section

Original Articles

How to Cite

1.
rehman shafqat, Ahmed I, Awan SH, Anwar Z, Saleem M, Afzal T. Comparison Between Ferguson’s Technique and Mitchelle Bank Technique for Inguinal Herniotomy in Children. Pak Armed Forces Med J [Internet]. 2022 Jun. 7 [cited 2024 Jun. 23];72(SUPPL-2):S375-78. Available from: https://pafmj.org/PAFMJ/article/view/3772