scholarly journals Does inguinal hernia repair increase urinary retention? Our 10-year results

2021 ◽  
Vol 8 (2) ◽  
pp. 449
Author(s):  
Ferec Efendiye ◽  
Haydar Celasin
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Urinary Retention ◽  
Operative Time ◽  
Fluid Replacement ◽  
Advanced Age ◽  
Number Of Patients ◽  
History Of ◽  
Group 1

Background: This study aimed to determine the incidence of urinary retention in patients undergoing inguinal hernia repair at our hospital as well as the predictors of urinary retention.Methods: Patients who underwent inguinal hernia repair at Lokman Hekim university Akay hospital between January 2010 and January 2020 were included in the study. The total number of patients was 578. The patients were divided into two groups: group-1 (patients who developed urinary retention following inguinal hernia repair) and group-2 (patients who did not develop urinary retention following inguinal hernia repair). The relationship between urinary retention and age, history of preoperative BPH, type and localization of hernia, operative and anesthesia time, perioperative NSAID, narcotic analgesic and antispasmodic use, presence of DM and rheumatic diseases and perioperative fluid replacement was investigated. Results: The median ages were 57.7±15.1 (20-74) and 48.8±17.5 (18-89) in groups 1 and 2, respectively (p<0.001).   5.36% (31/578) of the patients developed urinary retention. The group-1 were found to be at a more advanced age (p<0.001), have higher rates of BPH and DM (p<0.001), longer operative time (p<0.001), higher rate of perioperative antispasmodic use (p<0.001), higher rate of perioperative fluid replacement (p<0.001) and a lower rate of perioperative NSAID use (p<0.001) compared to those who did not develop postoperative urinary retention. Conclusions: According to the results of this study, advanced age, history of DM and BPH, antispasmodic use, longer operative time, high amount of postoperative fluid replacement and no perioperative use of NSAIDs lead to an increased risk of urinary retention.

scholarly journals Factors that predict urinary retention in patients who underwent inguinal hernia repair

2020 ◽  
Vol 7 (11) ◽  
pp. 3735
Author(s):  
Haydar Celasin ◽  
Faraj Afandiyev ◽  
Serdar Culcu
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Urinary Retention ◽  
Fluid Replacement ◽  
Predicting Factors ◽  
Duration Of Surgery ◽  
Clavien Grade ◽  
History Of ◽  
Group 2

Background: Some of the patients that undergo inguinal hernia repair develop urinary retention. We aimed to determine the rate of development of urinary retention and predicting factors after inguinal hernia repair.Methods: Patients who underwent inguinal hernia in our center from January 2017 to January 2020 were included in the study. Patients were examined in 2 groups; group1 (developed urinary retention after inguinal hernia repair) and group 2 (did not develop urinary retention after inguinal hernia repair). We investigated the relationship between the development of urinary retention with age, perioperative history of benign prostate obtruction, hernia type and localization, duration of surgery and anesthesia, perioperative non-steroidal anti-inflammatory drug (NSAID), narcotic analgesic and antispasmolytic use, having diabetus mellitus (DM) and rheumatoid diseases, and perioperative fluid replacement.Results: in group 1 and group 2, urinary retention developed in 11 (7.6%) of the patients. Patients who developed post-urinary retention were older than those without urinary retention (p=0.007). The BPO, DM rates were higher (p=0.0001), anesthesia and operation times were longer (p=0.003; p=0.0001); perioperative antispasmolytic use was higher (p=0.0001); we determined that postoperative fluid replacement rate was higher (p=0.003) and the rate of preoperative NSAID use was lower (p=0.0001). Clavien grade 4 and grade 5 complications were not observed in patients.Conclusions: Elderliness, DM history, antispasmolytic use, long operation and anesthesia duration, excessive postoperative fluid replacement and, not using perioperative NSAID increases the risk of urinary retention.

scholarly journals O49 COMPARING OUTCOMES BETWEEN MINIMALLY INVASIVE AND OPEN INGUINAL HERNIA REPAIR

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Michael Katzen ◽  
Sullivan Ayuso ◽  
Bola Aladegbami ◽  
Raageswari Nayak ◽  
Paul Colavita ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Minimally Invasive ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Operative Time ◽  
Univariate Analysis ◽  
Wound Complications ◽  
History Of ◽  
Open Inguinal Hernia Repair

Abstract Aim Prospective evaluation comparing outcomes between laparoscopic (LIHR), robotic (RIHR), and open inguinal hernia repair (OIHR). Material and Methods Prospective institutional data comparison of patients undergoing inguinal hernia repair from 1999–2020 was performed. Patients with chronic pain or infection were excluded. Standard statistical methods were used and univariate analysis was performed between LIHR, RIHR, and OIHR groups. Results 3,300 repairs were performed: 1,970 LIHR (597-bilateral), 127 RIHR (25-bilateral), and 538 OIHR (43-bilateral). LIHR and RIHR patients were younger (55.4±14.8vs59.0±13.7vs 65.0±13.7years;p&lt;0.01), with lower BMI (26.6±6.5vs28.9±20.3vs31.8±7.6kg/m2; p&lt;0.01), fewer overall (2.7±1.9 vs 2.7±2.2vs3.7±2.5; p &lt; 0.01) and cardiac (0.2% vs 0% vs 2.6%; p&lt;0.01) comorbidities, and fewer patients had diabetes (5.2%vs4.6%vs10.9%; p&lt;0.01). OIHR had the highest rate of recurrent hernias (21.2%vs11.2%vs30.9%; p&lt;0.01). History of smoking was less in LIHR (13.9%vs30.9%vs19.5%%; p&lt;0.01). Mesh was used in 99.5% of cases; synthetic was used in all minimally invasive cases and 98.4% of OIHR, with biologic mesh in 1.0% of OIHR due to bowel resection during the operation. Operative time was shortest in LIHR followed by open (86.5±39.6vs109.0±56.8vs92.6±55.2 min; p&lt;0.01). Wound complications were more frequent in OIHR (0.8%vs0.7%vs3.8%; p&lt;0.01). Admission was more common after open repair (2.2%vs2.7%vs5.7%; p&lt;0.01) with a trend to less readmission following LIHR (1.0%vs2.0%vs2.3%; p=0.06). There were few recurrences overall (0.7%vs0.7%vs1.3%; p=0.40) with mean follow-up time 21.1±22.4 months. Conclusions LIHR, RIHR, and OIHR were performed with low overall morbidity and complications. Recurrent hernias and cardiac patients were most often repaired open, which more frequent admission and had higher wound morbidity. RIHR had longer OR times with no improvement overall outcomes.

Paravertebral blocks reduce the risk of postoperative urinary retention in inguinal hernia repair

Hernia ◽  
2018 ◽  
Vol 22 (5) ◽  
pp. 871-879 ◽  
Author(s):  
E. Bojaxhi ◽  
J. Lee ◽  
S. Bowers ◽  
R. D. Frank ◽  
S. H. Pak ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Urinary Retention ◽  
Postoperative Urinary Retention

STUDY OF PREVALENCE OF LOWER URINARY TRACT SYMPTOMS IN PATIENTS UNDERGOING INGUINAL HERNIA REPAIR AT SKMCH, MUZAFFARPUR, BIHAR

2021 ◽  
pp. 51-53
Author(s):  
Sanjay Kumar ◽  
Kumar Vikram ◽  
Manoj Kumar ◽  
Debarshi Jana
Keyword(s):  
Inguinal Hernia ◽  
Urinary Tract ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Lower Urinary Tract Symptoms ◽  
Lower Urinary Tract ◽  
Urinary Symptoms ◽  
Number Of Patients ◽  
Urinary Tract Symptoms ◽  
Lower Urinary

Background: Lower urinary tract symptoms (LUTS) are frequently associated with inguinal hernias. It is important to recognise and treat bladder outlet obstruction in patients before inguinal hernia repair to prevent recurrence of hernia. Methods: This prospective study was conducted at Department of Surgery, Sri Krishna Medical College and Hospital, Muzaffarpur, Bihar. Hundred patients who presented with inguinal hernia repair were evaluated for LUTS using AUA scoring for urinary symptoms, uroowmetry (Qmax) and post voidal residual urine using ultrasonography along with urine routine microscopic examination and urine culture and sensitivity. Results: Eleven patients out of 100 who came for hernia repair had clinically signicant LUTS due to benign enlargement of prostate (BEP) and required treatment for BEP but none of these 11 patients had urinary symptoms as primary complaint. Ten patients were found to have urinary tract infection without any urinary symptom. Three patients had urethral stricture out of which 2 had Qmax of <10 ml/second. Conclusions: Signicant number of patients (14 percent) with inguinal hernia had lower urinary tract symptoms. An effort should be made to identify LUTS in patients presenting with inguinal hernia before surgery and treat the cause of LUTS. Ten percent of patients had asymptomatic UTI with AUA score less than 8 but Qmax on uroowmetry was in between 10-15 ml/second.

scholarly journals Postoperative urinary retention after inguinal hernia repair: a single institution experience

Hernia ◽  
2017 ◽  
Vol 21 (6) ◽  
pp. 895-900 ◽  
Author(s):  
A. B. Blair ◽  
A. Dwarakanath ◽  
A. Mehta ◽  
H. Liang ◽  
X. Hui ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Urinary Retention ◽  
Single Institution ◽  
Postoperative Urinary Retention

scholarly journals Outcomes of an innovative training course in laparoscopic hernia repair

2017 ◽  
Vol 99 (8) ◽  
pp. 614-616 ◽  
Author(s):  
D Light ◽  
S Bawa ◽  
P Gallagher ◽  
L Horgan
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Ventral Hernia ◽  
Inguinal Hernia Repair ◽  
Ventral Hernia Repair ◽  
Operative Time ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Ventral Hernia Repair ◽  
Hernia Surgery ◽  
The Mean

Introduction The Ethicon™ laparoscopic inguinal groin hernia training (LIGHT) course is an educational course based on three days of teaching on laparoscopic hernia surgery. The first day involves didactic lectures with tutorials. The second day involves practical cadaveric procedures in laparoscopic hernia surgery. The third day involves direct supervision by a consultant surgeon during laparoscopic hernia surgery on a real patient. We reviewed our outcomes for procedures performed on real patients on the final day of the course for early complications and outcomes. Methods A retrospective study was undertaken of patients who had laparoscopic hernia surgery as part of the LIGHT course from 2013 to 2015. A matched control cohort of patients who had elective laparoscopic hernia surgery over the study period was identified. These patients had their surgery performed by the same consultant general surgeons involved in delivering the course. All patients were followed up at 6 weeks postoperatively. Results A total of 60 patients had a laparoscopic inguinal hernia repair and 23 patients had a laparoscopic ventral hernia repair during the course. The mean operative time for laparoscopic inguinal hernia repair was 48 minutes for trainees (range 22–90 minutes) and 35 minutes for consultant surgeons (range 18–80 minutes). There were no intraoperative injuries or returns to theatre in either group. All the patients operated on during the course were successfully performed as daycase procedures. The mean operative time for laparoscopic ventral hernia repair was 64 minutes for trainees (range 40–120 minutes) and 51 minutes for consultant surgeons (range 30–130 minutes). Conclusions The outcomes of patients operated on during the LIGHT course are comparable to procedures performed by a consultant. Supervised operating by trainees is a safe and effective educational model in hernia surgery.

scholarly journals Characteristics and Treatments for Pediatric Ordinary and Incarcerated Inguinal Hernia Based on Gender: 12-Year Experiences from a Single Center

2020 ◽  
Author(s):  
Kai Wang ◽  
Sarah Siyin Tan ◽  
Yue Xiao ◽  
Zengmeng Wang ◽  
Chunhui Peng ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Large Scale ◽  
Operative Time ◽  
Hospital Costs ◽  
Recurrent Hernia ◽  
Incarcerated Hernia ◽  
Incarcerated Inguinal Hernia ◽  
Large Scale Analysis

Abstract Background: Congenital primary inguinal hernia is a common condition among children. Although much literature regarding inguinal hernia is available, large scale analysis are few, and rarely do they expand on gender difference or incarcerated hernias. Methods: Patients with unilateral or bilateral inguinal hernia who were admitted to our hospital and received open inguinal hernia repair (OIHR) or laparoscopic inguinal hernia repair (LIHR) under general anesthesia were included. Medical records were retrospectively collected and analyzed.Results: A total of 12190 patients were included in this study. The ratio of male to female was 4.8:1. There was a total of 10646 unilateral hernias (87.3%) and 1544 bilateral hernias (12.7%), with a corresponding ratio of 6.9:1. 12444 hernia repair surgeries, 11083 (89.1%) OIHR and 1361 (10.9%) LIHR, were held. OIHR had a shorter operative time than LIHR for all unilateral and female bilateral repair, unlike for bilateral male repair. There was no difference between OIHR and LIHR for ipsilateral recurrent hernia in males. There was a difference between OIHR and LIHR for metachronous contralateral hernia.Incarcerated inguinal hernia was associated with longer operative time, hospital stay and higher hospital costs. Females and patients under 1 year were more likely to present with incarcerated hernia.Conclusions: OIHR should be considered for male patients, especially for unilateral and complete inguinal hernia. LIHR is highly recommended for female patients. For incarcerated hernia, attention should be paid to patients under 1 year old, as they can be 60 times more susceptible, and females. Surgeons should also be aware of ovary hernias in females.

scholarly journals Desarda versus Lichenstein technique for primary inguinal hernia treatment: one year results of a randomised clinical trial

2020 ◽  
Vol 7 (7) ◽  
pp. 2147
Author(s):  
Pinak Pani Dhar ◽  
Upasana Mohanty ◽  
Raman Kumar Shankar
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Foreign Body ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Operative Time ◽  
Foreign Body Sensation ◽  
Primary Inguinal Hernia ◽  
Body Sensation

Background: The ideal operation to treat inguinal hernia is still far to define. The Shouldice method and other tissue-based techniques are still acknowledged to be acceptable for primary inguinal hernia repair according to European Hernia Society guidelines. Desarda’s technique, presented in 2001, is an original hernia repair method using an undetached strip of external oblique aponeurosis. This randomized trial compared outcomes after hernia repair with Desarda and mesh-based Lichtenstein techniques.Methods: A total of 42 participants (40 males and 2 females) were randomly assigned to the Desarda (group 1) and Lichtenstein (group 2), 19 vs 23 respectively. The primary outcomes measured were recurrence (for maximum follow up of 1 year and minimum of 5 months) and chronic pain. Additionally, operative time, early and late complications, foreign body sensation, and return to everyday activity were examined in hospital and at 7, 30 days, and 6, 12 months after surgery.Results: During the follow-up, one recurrence was observed in Desarda group after 10 months of surgery. Chronic pain was experienced by 10.5% and 8.7% of patients from groups Desarda and Lichtenstein respectively. Foreign body sensation and return to activity were comparable between the two groups. Operative time was less in Desarda group. There was significantly less seroma production in the Desarda group.Conclusions: The results of primary inguinal hernia repair with the Desarda and Lichtenstein techniques are comparable at the 1 year follow up. The technique may potentially increase the number of tissue-based methods available for treating groin hernias. 

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