scholarly journals The Short-Form Inguinal Pain Questionnaire (sf-IPQ): An Instrument for Rating Groin Pain After Inguinal Hernia Surgery in Daily Clinical Practice

2018 ◽  
Vol 43 (3) ◽  
pp. 806-811 ◽  
Author(s):  
Anders Olsson ◽  
G. Sandblom ◽  
U. Fränneby ◽  
A. Sondén ◽  
U. Gunnarsson ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Inguinal Hernia ◽  
Groin Pain ◽  
Short Form ◽  
Daily Clinical Practice ◽  
Hernia Surgery ◽  
Pain Questionnaire ◽  
Inguinal Pain ◽  
Inguinal Hernia Surgery

Radical operation of inguinal hernia by the method of Prof. I. A. Praxin

1927 ◽  
Vol 23 (12) ◽  
pp. 1229-1240
Author(s):  
V. A. Astrakhansky
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Groin Pain ◽  
The Other ◽  
Radical Operation ◽  
Hernia Surgery ◽  
Anatomy And Physiology ◽  
Other Hand ◽  
Inguinal Hernia Surgery

Anatomical conditions play an important role in the results of any operation, including herniotomy. On the other hand, however, we see that whatever these conditions may be, the imperfection of some methods, e.g., the same Bascini method, remains unchanged. The frequent complaints of operated patients about heaviness in the groin, pain in the testicular and spermatic cord after operations performed lege artis according to this method convince us of this. All this prompts us to turn surgeons' attention to the method of inguinal hernia surgery, once proposed by the late Prof. I.A. Praxin, a method based on the idea of meeting all the requirements of anatomy and physiology, imitating nature itself in detail.

scholarly journals Chronic Post-Inguinal Herniorrhaphy Pain in a Setting in Rural Africa

2021 ◽  
pp. 53-58
Author(s):  
Richard Wismayer
Keyword(s):  
Inguinal Hernia ◽  
Groin Pain ◽  
Hospital Setting ◽  
Chronic Groin Pain ◽  
Hernia Surgery ◽  
Ilioinguinal Nerve ◽  
Male Predominance ◽  
Inguinal Hernia Surgery ◽  
Routine Identification ◽  
Rural Africa

Introduction: In Africa, inguinal hernia is a common surgical condition with an incidence of 175 inguinal hernias per 100,000 people each year. Pain that persists for at least a duration of 3 months postoperatively following repair of an inguinal hernia defines chronic groin pain. The objective of this study was to determine the prevalence of chronic groin pain in a group of patients in a hospital setting in rural Africa. Methodology: A descriptive retrospective study was carried out between 1st April 2008 to the 31st July 2012 on all patients ≥15 years of age that underwent an inguinal hernia repair were eligible in this study. Data was retrieved from patients’ clinical notes and theatre log books on age, sex, recurrence of hernia and post-operative pain lasting at least 3 months. Data obtained in the interview questionnaire included duration of pain, pain at the operation site, type of postoperative analgesia and a physical examination to determine recurrence was performed in the surgical-out-patients clinic. Results: One hundred and fifty eight patients following repair of inguinal hernia using the modified Bassini technique were analysed. Mean age was 44.84 years. The male:female ratio was 3.65:1 with a male predominance. Chronic groin pain/discomfort was reported in 22(13.92%) and this pain/discomfort lasted for at least 3 months post-operatively. Conclusions: The low incidence of chronic groin pain in our study may be due to the majority of them being operated as elective procedures under local anaesthesia with routine identification of the ilioinguinal nerve. However, a study with a larger sample size and a longer follow up may be required to ascertain the true prevalence of chronic groin pain following inguinal hernia surgery in rural Africa.

New Four-fold Technique to Spread the Self-Gripping Mesh in Open Inguinal Hernia Surgery

2021 ◽  
Author(s):  
Arun Kumar Gupta ◽  
Aman Raj ◽  
Devadatta Poddar ◽  
Lalit Kumar Bansal ◽  
Peeyush Kumar ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
The Self ◽  
Hernia Surgery ◽  
Inguinal Hernia Surgery

scholarly journals Postoperative condition of patients as a result of treatment of inguinal hernias by laparoscopic and open methods

2021 ◽  
pp. 30-35
Author(s):  
V.V. Skyba ◽  
◽  
A.V. Ivanko ◽  
N.V. Voytyuk ◽  
V.V. Lysytsia ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Surgical Treatment ◽  
Open Access ◽  
Hospital Stay ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Lower Percentage ◽  
Hernia Surgery ◽  
Inguinal Hernias ◽  
Inguinal Hernia Surgery

Purpose – to analyze condition of patients after surgical treatment of inguinal hernias by laparoscopic and open methods. Materials and methods. A retrospective review of medical histories and outpatient charts of all patients who underwent inguinal hernia surgery at the Kyiv City Clinical Hospital No. 1 from January 2018 to July 2020 was conducted. Results. During the above period of time in our hospital open hernioplasty was performed in 86 patients, laparoscopic hernioplasty – 138 patients. With open hernioplasty, the average duration of surgical treatment was 40±12 minutes. The laparoscopic technique was 35±12 minutes. The length of hospital stay was significantly longer in the group of patients with the open method (48±12 hours) than in the group of laparoscopic plastic surgery (12±3 hours). From the group of patients who underwent open hernioplasty, 62 patients complained of long-term pain syndrome, from the group of laparoscopy – 12 patients. The cosmetic appearance was dissatisfied with 34 patients in the open access group and only 2 patients in the laparoscopic plastic group. Postoperative complications were observed in 34 patients who underwent surgical treatment through open access, and in 15 patients – by laparoscopy. Conclusions. The laparoscopic approach of inguinal hernia surgery is superior to open access, as it reduces the length of hospital stay, postoperative recovery, improves the aesthetic effect of the operation, reduces the frequency of infection of incisions. According to the results of the study, this technique gives a better result in the early postoperative period, a lower percentage of chronic pain and a higher degree of patient satisfaction compared to open access with the same low recurrence rate. Therefore, in our opinion, laparoscopic access to hernioplasty is the optimal method of treatment and can be recommended as a method of choosing inguinal hernia surgery. Postoperative assessment of the quality of life of patients after treatment of inguinal hernia by laparoscopic and open methods. The research was carried out in accordance with the principles of the Helsinki declaration. The study protocol was approved by the Local ethics committee of all participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: inguinal hernia, laparoscopy, open access surgery, analysis of methods, operation.

scholarly journals COMPARATIVE STUDY OF INGUINAL HERNIA REPAIR WITH PLACEMENT OF MESH ANTERIOR AND POSTERIOR TO FASCIA TRANSVERSALIS IN CASES OF UNILATERAL INGUINAL HERNIA

2020 ◽  
pp. 39-41
Author(s):  
Angshuman Mukherjee ◽  
Dhrubajyoti Maulik
Keyword(s):  
Inguinal Hernia ◽  
Wound Complications ◽  
Hernia Surgery ◽  
Mesh Placement ◽  
Unilateral Inguinal Hernia ◽  
Fascia Transversalis ◽  
Inguinal Pain ◽  
Duration Of Surgery ◽  
Pain Duration ◽  
Superiority Trial

Background: Since inception hernia surgery evolved a lot and achieved the gold standard of Lichtenstein hernioplasty. Chronic post-surgical inguinal pain and mesh related wound complications are still issues of concern for surgeons. To minimize these problems different modifications are being evaluated worldwide. OBJECTIVE: To compare the incidence of post-surgical chronic inguinal pain duration of surgery between two different techniques of mesh placement, one is placing the mesh anterior to Fascia Transversalis and other is placing the mesh posterior to Fascia Transversalis. STUDY DESIGN: Randomized superiority trial done among patients selected from opd and divided in two groups undergone hernioplasty by two different techniques of mesh placement. MATERIALS AND METHODS: Each group of patients contained fifty patients of 18 to 65 years of age with unilateral inguinal hernia. Duration of surgery recorded and post-surgical chronic inguinal pain evaluated at 2 weeks 2 months 4 months and 6 months after surgery. CONCLUSION: The study showed that placement of mesh posterior to fascia tranversalis gave better result than placing it anterior to FT in respect of post operative chronic pain but with a longer operative duration.

scholarly journals P144 SPERMATIC CORD LIPOSARCOMA - A VERY RARE FINDING DURING INGUINAL HERNIA SURGERY

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Christian Gröger ◽  
Lena Kundel ◽  
Hardwig Riediger
Keyword(s):  
Inguinal Hernia ◽  
Spermatic Cord ◽  
Rare Condition ◽  
Minimal Invasive ◽  
Tumor Board ◽  
Fatty Tissue ◽  
Industrialized Countries ◽  
Hernia Surgery ◽  
Rare Finding ◽  
Inguinal Hernia Surgery

Abstract Aim Repair of inguinal hernia is one of the most common operations in general surgery in industrialized countries. Isolated spermatic cord liposarcoma is a very rare soft tissue tumor. Despite standardized diagnostic algorithms for inguinal hernia, it could be difficult to predict such a rare finding. Material and Methods We report a case of inadvertent inguinal liposarcoma excision during hernia surgery in a 72-year-old male patient. Except for polyposis coli there were no further illnesses. Results After a minimal invasive transabdominal preperitoneal (TAPP) repair of a symptomatic inguinal hernia last year a persistent scrotal swelling developed. Computed tomography (CT) showed a protrusion of fatty tissue into the scrotal sac. Diagnosis of scrotal hernia was made. We performed an open Lichtenstein procedure. The final pathologic examination revealed a highly differentiated liposarcoma. Staging was completed and the case was presented to a multidisciplinary sarcoma tumor board at our institution. As recommended, a inguinal reoperation was performed with wide excision. Conclusions Although a very rare condition, spermatic cord liposarcoma should be considered as a possible differential diagnosis for inguinal hernia surgery.

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