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Abstract Introduction: Hernia is derived from the Latin word for rupture1. 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. Risk factors that are useful in predicting complications in an adult patient with a groin hernia include old age, short duration, femoral hernia, and coexisting medical illness. Reluctance for surgery due to economic reasons coupled with a general fear for surgery is the main reason for an increasing number of elderly surgical patients in developing countries. Aims and Objective: Study of the Various Factors Deciding Elective or Emergency Inguinal Hernia Surgery Methodology: This was hospital based, Prospective study of the inguinal Hernia patients at tertiary care hospital of January 2012 to January 2015 three year duration. During three year duration total 182 patients of hernia were studied out of them 29 required emergency Operation while rest of the patients were treated electively. Data was analyzed by Standard Error of Proportion (z-score) calculated by Graph Pad Prism 6 Software. Result: Most common age group of Hernia patients was >60 i.e. (34.44%) followed by 51-60 i.e. (31.11%); 41-50 (17.22%); 31-40 (7.22%); 21-30(6.11%); 11-20 (3.33%) ;< 10 (1.67%). The factors like Age >60(p<0.005;z=5.87); H/o BPH(p<0.005;z=6.75); H/o COPD(p<0.005;z=3.37); H/o Diabetes(p<0.005;z=3.92) H/o Smoking(p<0.005;z=3.38);H/o Laborious work( p<0.005;z=4.88) were significantly associated with Emergency Inguinal hernia Surgery. Conclusion: Age >60); H/o BPH; H/o COPD; H/o Diabetes H/o Smoking; H/o Laborious workWere significantly associated with Emergency Inguinal hernia Surgery so all these factors meticulously studied in every patients to avoid complications and all surgeries should not be delayed to have complications.

Keywords: Inguinal Hernia, BPH (Benign Prostatic Hyperplasia), COPD (Chronic Obstructive Pulmonary Disease).


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