Pseudo Obstructed Hernia and Renga Sign

Abstract

Obstructed hernia is a common surgical emergency. Over a period of 10 years, six patients had undergone laparotomy to overcome the paralytic ileus following hernioplasty surgery. Here the researcher has designed a test to avoid this rare (post hernioplasty) laparotomy/other modality of intervention. This is a post-operative, retrospective, and observational study. The researcher has observed these findings only in six patients over a period of 10 years. Patients possessing intestinal obstruction with uncomplicated hernia and obstructed hernia are taken in this study, since both conditions present with obstipation. A simple clinical observation named renga sign is designed to differentiate to do hernioplasty or laparotomy/other modality of management. This test is an easy, bedside, clinical method to decide about the type of surgery to be performed. In the study, the researcher proves the application of this simple and easy clinical test even to the junior-most persons who are identified whether a hernioplasty or other modality of intervention is required in this situation.