COMPARISON BETWEEN OUTCOMES OF INGUINAL HERNIOTOMY BY MITCHELL BANK AND MODIFIED FERGUSON TECHNIQUE FOR PEDIATRIC INGUINAL HERNIA

Main Article Content

Moeezah
Ghulam Mohy Ud Din
Nudrat Seemab
Mahboob Ahmad Bhutta
Imran Hashim
Muhammad Saleem
Sulman Bajwa

Keywords

Children, Inguinal herniotomy, Mitchell-Banks technique, Modified Ferguson technique, Recurrence, Surgical outcomes

Abstract

Background: Inguinal hernia is a common pediatric condition stemming from a persistent processus vaginalis. Traditional approaches recommend the Mitchell-Banks’ herniotomy (MBT) for children under 2 years and the Ferguson herniotomy (FGT) for those over 2 years. This study evaluates the efficacy and safety of these techniques across a broader age range.


Objective: To compare the outcomes of MBT and FGT in children aged 3 months to 6 years, focusing on surgical success and postoperative complications.


Methods: In this randomized controlled trial, conducted from July 2020 to June 2022, 190 children were equally divided into two groups: Group A underwent FGT and Group B underwent MBT. Follow-ups were scheduled at 1 week, 1 month, 3 months, and 6 months post-surgery to assess hernia recurrence, wound infection, hydrocele, surgical hematoma, and testicular atrophy. Data analysis was performed using SPSS 25.0, with a significance level set at P≤0.05.


Results: The MBT group comprised 95 patients (89.5% male, mean age 3.22±1.5 years); the FGT group also included 95 patients (88.4% male, mean age 2.85±1.6 years). At one-month follow-up, no recurrences were observed in the MBT group, while the FGT group reported a 3.1% recurrence rate.


Conclusion: The Mitchell-Banks’ technique is demonstrated to be a simple and effective method for inguinal herniotomy in children, showing a lower recurrence rate compared to the Modified Ferguson technique. It is viable for use in children beyond the traditionally recommended age of 2 years.

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