A Clinico Comparative Study of Desarda Hernia Repair with and without Erandatailapana as a Purvakarma in the Management of Apraptphalakosha Antravriddhi (Inguinal Hernia)-An Open Label Randomized Comparative Clinical Trial

A CLINOCO COMPARATIVE STUDY OF DESARDA HERNIA REPAIR WITH AND WITHOUT ERANDATAILAPANA AS A PURVAKARMA IN THE MANAGEMENT OF APRAPTPHALAKOSHA ANTRAVRIDDHI (INGUINAL HERNIA)- AN OPEN LABEL RANDOMIZED CPMPARATIVE CLINICAL TRIAL

Introduction

Hernia is derived from the Latin word for rupture. A hernia is defined as an abnormal protrusion of an organ or tissue through a defect in its surrounding walls. Although a hernia can occur at various sites of the body, these defects most commonly involve the abdominal wall, particularly the inguinal region. Abdominal wall hernias occur only at sites at which the aponeurosis and fascia are not covered by striated muscle.

An indirect inguinal hernia travels down the canal on the outer (lateral and anterior) side of the spermatic cord. A direct inguinal hernia comes out directly forwards through the posterior wall of the inguinal canal.

Indirect inguinal hernia this is the most common form of hernia. Indirect hernias are most common in the young one, whereas direct hernias are most common in the old

one. In the first decade of life, inguinal hernia is more common on the right side in the male. This is no doubt associated with the later descent of the right testis and a higher incidence of failure of closure of the processus vaginalis. In adult males, 65% of inguinal hernias are indirect and 55% are right-sided. The hernia is bilateral in 12% of cases.

Randomization will be done with the help of computer-generated Data. All the Patients will be selected from OPD and IPD of Government

Akhandanand Ayurvedic Hospital, bhadra and Smt. Maniben Ayurved

Hospital; Asarva, Ahmedabad. Patients will be selected irrespective of

caste, religion and occupation.

sample size

14 Patients will be selected as per inclusion criteria and randomly divided in 2 groups and each group has same number of patient.

Group A - Desarda Hernia Repair.

Group B - Erandataila and Milk for 7 days. And on 8th day Desarda Hernia Repair will be done.

Diagnostic criteria

Lump in Inguinal swelling

Pain Characterized as a vague, dull and dragging worsening

by straining, lifting heavy weights.

Paresthesia in the inguinal canal

Location Above inguinal Ligament

Palpation - Location of impulse on cough found above

inguinal Ligament and Medial to Pubic Tubercle

Ring occlusion Test

Three Finger Test ( Zieman Technique )

Finger Invagination Test

USG Inguinoscrotal

Pathyapathya

Keep the dressing and area around it clean and free from dirt or sweat.

Rest for several days after surgery.

Avoid any movement that might stretch or injure the stitches.

Avoid hitting or bumping the area.

Do not let the dressing get wet.

Do not touch the dressing.

Avoid strenuous exercise for several days.

The site may become itchy as it heals. Do not scratch the wound or  prick at it.

Do not rub or scrub the wound.

Inform immediately if increased drainage from the wound, drainage

becoming thick, green or yellow or smells bad (pus), feels fever.