IIARD International Institute of Academic Research and Development

INTERNATIONAL JOURNAL OF HEALTH AND PHARMACEUTICAL RESEARCH (IJHPR )

E-ISSN 2545-5737
P-ISSN 2695-2165
VOL. 10 NO. 4 2025
DOI: 10.56201/ijhpr.vol.10.no4.2025.pg53.61

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Comparison of the Efficacy of Coconut Bandage with use of Tight Swimming Pants in Prevention of Post-Herniorrhaphy Scrotal Haematoma

Michael Ekemena Ogba, and Azubuike Ogba

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Abstract

Background: Post-herniorrhaphy scrotal haematoma is a common complication following inguinoscrotal hernia repair, particularly in regions like Africa, where delayed presentation and large hernias are prevalent. This study compares the efficacy of two mechanical compression methods—coconut bandage and tight swimming pants—in preventing this complication. Methods: A prospective randomised interventional study was conducted with 62 male patients (aged ?18 years) undergoing inguinoscrotal herniorrhaphy. Participants were divided into Group A (coconut bandage) and Group B (tight swimming pants). Scrotal size was measured pre- and post-operatively, and haematoma incidence was assessed clinically and via ultrasonography on postoperative days 1, 3, and 5. Data were analysed using SPSS version 20, with statistical significance at p < 0.05. Results: Haematoma incidence was comparable between groups: 16.1% (5/31) in Group A and 12.9% (4/31) in Group B (p = 1.00). All haematomas were managed conservatively. Coconut bandages were associated with higher complications, including penile oedema (6.5%), scrotal excoriation (6.5%), and dislodgement (12.9%), while tight pants had no such issues. Conclusion: Both methods are equally effective in preventing haematoma, but tight pants offer advantages in comfort, compliance, and fewer complications. We recommend their routine use for post-herniorrhaphy scrotal support, especially in resource-limited settings.

Inguinoscrotal hernia, scrotal haematoma, coconut bandage, tight pants, postoperative complications, herniorrhaphy.

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