Overview of Modern Surgical Techniques in Inguinal Hernia Repair

2017 ◽  
pp. 41-42
Author(s):  
Arthur I. Gilbert ◽  
Jerrold Young ◽  
Rafael Azuaje
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Surgical Techniques

Inguinal hernia repair: current surgical techniques

2011 ◽  
Vol 397 (2) ◽  
pp. 271-282 ◽  
Author(s):  
R. Bittner ◽  
J. Schwarz
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Surgical Techniques

scholarly journals The Onstep Method for Inguinal Hernia Repair: Operative Technique and Technical Tips

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Jacob Rosenberg ◽  
Kristoffer Andresen
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Surgical Procedures ◽  
Operative Technique ◽  
Surgical Techniques ◽  
Full Description ◽  
Tips And Tricks ◽  
Promising Technique

Inguinal hernia repair is one of the most common surgical procedures and several different surgical techniques are available. The Onstep method is a new promising technique. The technique is simple with a number of straightforward steps. This paper provides a full description of the technique together with tips and tricks to make it easy and without complications.

scholarly journals Data and outcome of inguinal hernia repair in hernia registers – a review of the literature

2017 ◽  
Vol 2 (2) ◽  
pp. 69-79 ◽  
Author(s):  
Ferdinand Köckerling
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Observational Studies ◽  
Surgical Techniques ◽  
Hernia Surgery ◽  
Real World Data ◽  
Randomized Controlled ◽  
Large Patient ◽  
Clinical Questions

AbstractRegister-based observational studies in inguinal hernia repair deliver real-world data from very large patient populations and give answers to important clinical questions never evaluated in randomized controlled trials. Data from hernia registers can provide evidence of effectiveness of therapies in the general population. Hernia registers with high case load have existed in Sweden since 1992, in Denmark since 1998, and in Germany/Austria/Switzerland since 2009. In this review, the most important findings of register-based observational studies in inguinal hernia repair are presented. After an intensive literature search, 85 articles are relevant for this review. Numerous findings from these register-based studies have been incorporated into the various guidelines on inguinal hernia repair. These highlight the particular importance of hernia registers in answering key scientific and clinical questions in hernia surgery. The myriad of surgical techniques described – spanning more than 100 and with ongoing new additions – as well as the large number of associated medical devices call for, more than in other surgical disciplines, meticulous documentation of the methods used for the treatment of inguinal hernias.

scholarly journals Hospital volume and outcome in inguinal hernia repair: analysis of routine data of 133,449 patients

Hernia ◽  
2019 ◽  
Vol 24 (4) ◽  
pp. 747-757 ◽  
Author(s):  
M. Maneck ◽  
F. Köckerling ◽  
C. Fahlenbrach ◽  
C. D. Heidecke ◽  
G. Heller ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Surgical Complications ◽  
Hospital Volume ◽  
Sickness Fund ◽  
Surgical Techniques ◽  
Routine Data ◽  
Federal Republic Of Germany

Abstract Introduction Inguinal hernias are repaired using either open or minimally invasive surgical techniques. For both types of surgery it has been demonstrated that a higher annual surgeon volume is associated with a lower risk of recurrence. This present study investigated the volume-outcome implications for recurrence operations, surgical complications, rate of chronic pain requiring treatment, and 30-day mortality based on the hospital volume. Materials and methods The data basis used was the routine data collected throughout the Federal Republic of Germany for persons insured by the Local General Sickness Fund “AOK” who had undergone inpatient inguinal hernia repair between 2013 and 2015. Complications were recorded by means of indicators. Hospitals were divided into five groups on the basis of the annual caseload volume: 1–50, 51–75, 76–100, 101–125, and ≥ 126 inguinal hernia repairs per year. The effect of the hospital volume on the indicators was assessed using multiple logistic regression. Results 133,449 inguinal hernia repairs were included. The incidence for recurrence operations was 0.95%, for surgical complications 4.22%, for chronic pain requiring treatment 2.87%, and for the 30-day mortality 0.28%. Low volume hospitals (1–50 and 51–75 inguinal hernia repairs per year) showed a significantly increased recurrence risk compared to high volume hospitals with ≥ 126 inguinal hernia repairs per year (odds ratio: 1.53 and 1.24). No significant correlations were found for the other results. Conclusions The study gives a detailed picture of hospital care for inguinal hernia repair in Germany. Furthermore, it was noted that the risk of hernia recurrence decreases in line with a rising caseload of the treating hospital.

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