Inguinal Hernia

2020 ◽  
Author(s):  
Bryan K. Richmond ◽  
Mike Q. Tran
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Disease Process ◽  
The United States ◽  
Chronic Groin Pain ◽  
Hernia Surgery ◽  
Total Extraperitoneal ◽  
Bassini Repair

Approximately 700,000 inguinal hernia repairs are performed in the United States annually, making it one of the most commonly performed operations in surgical practice. The anatomy of the inguinal region is quite complex, and a thorough understanding of this region is required to successfully and safely repair these defects. The science of inguinal hernia repair continues to evolve and over the past several years has expanded to include laparoscopic and robotic approaches, as well as time-honored open repairs that still play an essential role in treating this disease process. The following review describes the relevant anatomy, types of groin hernias, the role of different hernia prostheses and meshes, common and evolving repair techniques, and the common complications encountered in hernia surgery, including chronic groin pain after inguinal hernia repair.  The review contains 19 figures, 15 tables, and 50 references. Keywords: Inguinal hernia, femoral hernia, transabdominal preperitoneal repair, total extraperitoneal repair, laparoscopy, Bassini repair, Lichtenstein repair

Evaluation of Chronic Groin Pain Rates After TEP Hernioplasty – A Single-Center Study

2019 ◽  
Vol 12 (2) ◽  
pp. 153-156
Author(s):  
Dobromir D. Dimitrov
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Groin Pain ◽  
Mesh Fixation ◽  
University Hospital ◽  
Chronic Groin Pain ◽  
Minimal Risk ◽  
Preoperative Pain ◽  
Total Extraperitoneal

Summary Total extraperitoneal hernioplasty (TEP) has become increasingly used by surgeons. The TEP procedure is technically more challenging due to space constraints and has a higher learning curve. Chronic groin pain after inguinal hernia repair has become the dominant outcome investigated rather than recurrence. We aimed to evaluate the rate of chronic groin pain after TEP inguinal hernia repair performed at the Department of Surgical Oncology in G. Stranski University Hospital – Pleven. The procedures performed totaled 36. There was one conversion, and the patient was excluded from the study because the procedure performed was not laparoscopic. Distribution according to inguinal hernia type was: 41.7% - indirect hernia (15), 36.1% - direct hernia (13), 13.9% combined (5), and 8.3% femoral (3). Twenty-eight of the patients (80%) had preoperative pain. Two of the patients with chronic groin pain had had their meshes fixed with tacks (14.3% from the tack group with p=0.7). Our study showed that the TEP procedure is a safe, feasible operation with minimal risk for complications. Using tacks for mesh fixation is associated with higher rates of chronic groin pain, but it does not affect the recurrence rate, which correlates with the literature review data.

Laparoscopic total extraperitoneal (TEP) inguinal hernia repair: Overcoming the learning curve

2004 ◽  
Vol 18 (4) ◽  
pp. 642-645 ◽  
Author(s):  
Pawanindra Lal ◽  
R. K. Kajla ◽  
J. Chander ◽  
V. K. Ramteke
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Inguinal Hernia Repair ◽  
Total Extraperitoneal

Watchful Waiting versus Surgery for Inguinal Hernia

2017 ◽  
Author(s):  
Rachel J. Kwon
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Clinical Case ◽  
Watchful Waiting ◽  
Surgical Repair ◽  
Hernia Surgery ◽  
Study Intervention ◽  
Landmark Study

This chapter provides a summary of a landmark study in hernia surgery. For men with minimally symptomatic inguinal hernias, does deferring surgical repair until symptoms develop lead to worse outcomes with respect to pain and physical function? Starting with that question, it describes the basics of the study, including funding, year study began, year study was published, study location, who was studied, who was excluded, how many patients, study design, study intervention, follow-up, endpoints, results, and criticism and limitations. The chapter briefly reviews other relevant studies and information, gives a summary and discusses implications, and concludes with a relevant clinical case involving inguinal hernia repair.

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