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

Michael Ekemena Ogba; Azubuike Ogba

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

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.

Keywords

Inguinoscrotal herniascrotal haematomacoconut bandagetight pantspostoperative complicationsherniorrhaphy.

References

1. Awe JAA,Ugwi V OE. Inguinal hernias: analysis of incidence, diagnosis and management of 172 consecutive adult cases at Igbinedion university teaching hospital Okada. Global Advanced Research Journal of Medical Science. 2014;3(7):168–72. 2. Agbakwuru EA, Adisa AO. Inguinal hernia: an Overview. Journal of the Obafemi Awolowo University Medical Student’s Association (IFEMED). 2008;14(1):86–9. 3. Wismayer R. Inguinal Hernia Repairs in a Rural Setting in East Africa: A Clinical Approach. 4. Tran HM, MacQueen I, Chen D, Simons M. Systematic review and guidelines for management of scrotal inguinal hernias. Journal of Abdominal Wall Surgery. 2023;2:11195. 5. Matthews RD, Anthony T, Kim LT, Wang J, Fitzgibbons Jr RJ, Giobbie-Hurder A, et al. Factors associated with postoperative complications and hernia recurrence for patients undergoing inguinal hernia repair: a report from the VA Cooperative Hernia Study Group. The American journal of surgery. 2007;194(5):611–7. 6. Udo IA. Clinical presentation of inguinal hernia among adults in Uyo, Nigeria. Niger J Clin Pract. 2021;24(7):1082–5. 7. Ogbuanya AUO, Amah D. Delay in presentation and challenges of treatment of complicated abdominal wall hernias in rural southeast Nigeria. Nigerian Journal of Surgical Sciences. 2018;28(2):26–33. 8. Dieny PO, Akani AB, Gbeneol PK, Jebbin NJ. Anterior abdominal wall hernias in a rural practice in Rivers State, Nigeria. Port Harcourt Medical Journal. 2009;4(1). 9. Shah DK, Sagar J. Massive penoscrotal haematoma following inguinal hernia repair: a case report. J Med Case Rep. 2008;2:1–3. 10. Alwahab A, AlAwadhi A, Nugud AAA, Nugud SAE. Worst Case Scenarios! Complications Related to Hernial Disease. In: Hernia Surgery and Recent Developments. IntechOpen; 2018. 11. Samee A, Adjepong S, Pattar J. Late onset mesh infection following laparoscopic inguinal hernia repair. Case Reports. 2011;2011:bcr0920114863. 12. Odula PO, Kakande I. Groin hernia in Mulago hospital, Kampala. East Cent Afr J Surg. 2004;9(1). 13. Archer A, Choyke PL, O’Brien W, Maxted WC, Grant EG. Scrotal enlargement following inguinal herniorrhaphy: ultrasound evaluation. Urol Radiol. 1988;9:249–52. 14. Ohene-Yeboah M, Abantanga FA. Inguinal Hernia Disease in Africa: A Common but Neglected Surgical Condition. West Afr J Med. 2012 Jun 6;30(2):77–83. 15. Goyal S. Face-mask as scrotal support to reduce incidence of scrotal oedema (post. Innovative Journal of Medical and Health Science. 2013;3(6). 16. Tamilselvan S, Rajachidambaram K, SK M. Traditional Scrotal Support After Inguino Scrotal Hernia Repair-A Historical Ritual Or A Scientific Myth??? 2018; 17. Kosternoy A, Bayumi EK. Effect of Scrotal Hitching In Reducing Scrotal Edema after Inguinoscrotal Hernia Repair. IOSRJournal of Dental and Medical Sciences (IOSR-JDMS) e-ISSN. :2279–853. 18. Joseph MG, O’Boyle PJ. The’hitch-stitch’and drain technique for the prevention of inguinoscrotal haematoma following complicated inguinoscrotal surgery. J R Coll Surg Edinb. 1989;34(2):104–5.

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

Abstract

Keywords

References

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