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

  • 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
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
2022-06-07
How to Cite
rehman, shafqat, Ahmed, I., Awan, S., Anwar, Z., Saleem, M., & Afzal, T. (2022). Comparison Between Ferguson’s Technique and Mitchelle Bank Technique for Inguinal Herniotomy in Children. Pakistan Armed Forces Medical Journal, 72(SUPPL-2), S375-78. https://doi.org/10.51253/pafmj.v72iSUPPL-2.3772
Section
Original Articles