Local anesthesia for open mesh repair of recurrences after previous total extraperitoneal inguinal hernia repair

Background: In the practice of General Surgery, hernia repair is the second most common procedure after appendectomy. Several methods have been developed over the years to try to improve hernia repair. Good result can be expected using Bassini's, McVay's, Shouldice's techniques provided the exact nature of hernia is recognized and the repair is done without tension using healthy tissue. The introduction of synthetic mesh started a new era in hernia surgery. The use of synthetic mesh repair of primary and recurrent hernias has gradually gained acceptance among surgeons. Objective: To find out the outcome and complications of open inguinal hernia repair with prolene mesh. Methods: This is a prospective cross sectional study conducted at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, from December, 2011 to May, 2012. One hundred patients of inguinal hernia admitted in different surgical units of BSMMU, Dhaka for elective surgery were studied. We have given 1 gm ijv Cephradine per operatively and then 500 gm cephradine ijv 6 hourly for 24 hours followed by oral form of Cephradine for next 5 days. Polypropylene mesh of 11 cm x 7 cm size was used in all cases. All the operations were done by open tension free prolene mesh repair technique. Patients were followed for one year to see the outcome. Results: Out of 100 cases of inguinal hernia, 71 patients (71%) had indirect inguinal hernia and 29 cases (29%) had direct inguinal hernia; 90 cases (90%) were primary hernia and only 10 cases (10%) were recurrent hernia; 58 cases were right sided, 34 cases (34%) were left sided and 8 cases (8%) were bilateral. Complications of mesh repair of groin hernia in this study included wound infection (5%), scrotal oedema (2%), mesh infection (0%), scrotal hematoma (2%), echymoces of peri-incisional skin (5%), early wound and groin pain (7%), chronic inguinodynia (2%), hernia recurrence (1%). Conclusion: In the present study an attempt is made to evaluate the outcome of patients undergoing inguinal hernia repair by prolene mesh. The results confirm that Lichtenstein tension free mesh repair of inguinal hernia is safe and reliable for both primary and recurrent groin hernia, with less recurrence rate. Patient's compliance was good with minimum morbidity. Journal of Surgical Sciences (2018) Vol. 22 (1): 21-24

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Comparison of local versus spinal anesthesia in long standing open inguinal hernia repair

International Surgery Journal ◽

10.18203/2349-2902.isj20174889 ◽

2017 ◽

Vol 4 (11) ◽

pp. 3701 ◽

Cited By ~ 2

Author(s):

Anubhav Goel ◽

Ankur Bansal ◽

Akash Singh

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Spinal Anesthesia ◽

Inguinal Hernia Repair ◽

Local Anesthesia ◽

Mesh Repair ◽

Hernia Mesh ◽

Group A ◽

Group B ◽

Hernia Mesh Repair

Background: Hernias are among the oldest known afflictions of human kind and elective inguinal hernia repair is commonly performed operation in general surgery. General or spinal anesthesia are still the most common types of anesthesia being used in India. Studies comparing the recovery profiles of local, general and regional anesthesia show that local anesthesia is ideal for day care surgery.Methods: This study had included 60 cases of male single sided reducible indirect long standing (more than 5 years) inguinal hernia. Patients were divided randomly into two groups of 30 each named Group A and Group B. Patients in group A were subjected to inguinal hernia mesh repair under local anesthesia and patients in group B were subjected to inguinal hernia mesh repair under spinal anesthesia. Tension free Lichtenstein hernioplasty was done in both groups.Results: Time taken in local anesthesia is higher than spinal anesthesia. Intraoperative pain is higher in local anesthesia than spinal anesthesia. There is no difference on post-operative pain. Post-operative complications are more in spinal anesthesia group.Conclusions: Patient selection is very important and patient with long history should be avoided under local anesthesia.

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Open mesh and laparoscopic total extraperitoneal inguinal hernia repair under spinal and general anesthesia

Therapeutics and Clinical Risk Management ◽

10.2147/tcrm.s175314 ◽

2018 ◽

Vol Volume 14 ◽

pp. 1839-1845 ◽

Cited By ~ 3

Author(s):

Oguzhan Sunamak ◽

Turgut Donmez ◽

Dogan Yildirim ◽

Adnan Hut ◽

Vuslat Muslu Erdem ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

General Anesthesia ◽

Inguinal Hernia Repair ◽

Total Extraperitoneal ◽

Open Mesh

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Three Thousand One Hundred Seventy-Five Primary Inguinal Hernia Repairs: Advantages of Ambulatory Open Mesh Repair Using Local Anesthesia

Journal of the American College of Surgeons ◽

10.1016/s1072-7515(98)00057-x ◽

1998 ◽

Vol 186 (4) ◽

pp. 447-455 ◽

Cited By ~ 119

Author(s):

Allan E. Kark ◽

Martin N. Kurzer ◽

Philip A. Belsham

Keyword(s):

Inguinal Hernia ◽

Local Anesthesia ◽

Mesh Repair ◽

Primary Inguinal Hernia ◽

Open Mesh Repair ◽

Open Mesh

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COMPARATIVE CLINICAL STUDY OF NON-MESH VERSUS MESH REPAIR IN PRIMARY INGUINAL HERNIA

10.36106/ijsr/2702580 ◽

2021 ◽

pp. 1-3

Author(s):

Palash Saha ◽

Ved Rajan Arya ◽

Debarshi Jana

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Clinical Outcome ◽

Hernia Repair ◽

Return To Work ◽

Inguinal Hernia Repair ◽

Mesh Repair ◽

Suture Repair ◽

Primary Inguinal Hernia ◽

Open Mesh

Background: The inguinal regions are one of the natural weak areas in the abdominal wall and are the most common site of herniation. Inguinal hernia repair is one of the most frequently performed operations. Amis: The aim of this study is to compare open mesh and non-mesh suture repair of primary inguinal hernias with respect to clinical outcome which include postoperative pain, complications, time of return to work and recurrence. Matierial and methods: This prospective study of 102 cases of primary inguinal hernia repair was carried out at M.G.M. Medical College & L.S.K. Hospital, Kishanganj with the aim of comparing open mesh and non-mesh suture repair with respect to clinical outcome which included postoperative pain, complications time of return to work and recurrence. Result: In our study there were no specific criteria for allocation of the method of repair and of 102 patients 52 patients randomly underwent non-mesh repair and 50 patients underwent mesh repair. Conclusion: The use of prosthetic mesh allows tension-free repair of inguinal hernia and in theory better results. Our study proves the superiority of this method over non-mesh repair in the long term with regard to hernia recurrence; in addition, there were less complications and postoperative pain.

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Laparoscopic versus Open Repair of Inguinal Hernia

10.1093/med/9780199384075.003.0019 ◽

2017 ◽

Author(s):

Rachel J. Kwon

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Hernia Surgery ◽

Open Mesh Repair ◽

Study Intervention ◽

Open Mesh ◽

Better Than ◽

Landmark Study

This chapter provides a summary of a landmark study in hernia surgery. In terms of recurrence, pain, and complications, is laparoscopic inguinal hernia repair with mesh better than traditional open mesh repair? 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 possible inguinal hernia repair.

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Antibiotic Prophylaxis in Patients Undergoing Open Mesh Repair of Inguinal Hernia: A Meta-Analysis

The American Surgeon ◽

10.1177/000313481207800348 ◽

2012 ◽

Vol 78 (3) ◽

pp. 359-365 ◽

Cited By ~ 12

Author(s):

Yuan Yin ◽

Turun Song ◽

Banghua Liao ◽

Qian Luo ◽

Zongguang Zhou

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Surgical Site Infection ◽

Antibiotic Prophylaxis ◽

Mesh Repair ◽

Meta Analysis ◽

Controlled Trials ◽

Site Infection ◽

Open Mesh Repair ◽

Open Mesh

The use of antibiotic prophylaxis in hernia repair is still under debate. The aim of this meta-analysis was to assess the effect of antibiotic prophylaxis in patients undergoing open mesh repair of inguinal hernia with respect to incidence of postoperative surgical site infection (SSI). A literature search was conducted in databases of MEDLINE, EMBASE, and Cochrane Central Register of Controlled Trials. Study selection, data extraction, quality assessment, and meta-analysis were conducted according to the recommendations by Cochrane collaboration. Nine randomized controlled trials were included. Incidence of surgical site infection was 39/1642 (2.38%) in the antibiotic group and 70/1676 (4.18%) in the control group. Antibiotics showed a protective effect in preventing SSI after mesh inguinal hernia repair (odds ratio: 0.61, 95% confidence interval: 0.40–0.92, I2: 0%). Antibiotic prophylaxis did reduce the incidence of SSI in hernia patients undergoing mesh hernioplasty. The cost effectiveness of antibiotic prophylaxis needs further evaluation.

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Postoperative Pain in Laparoscopic Transabdominal Preperitoneal Versus Lichtenstein Open Mesh Repair Techniques for Inguinal Hernia

Journal of Surgery Pakistan ◽

10.21699/jsp.22.3.3 ◽

2017 ◽

Vol 22 (3) ◽

Keyword(s):

Inguinal Hernia ◽

Postoperative Pain ◽

Mesh Repair ◽

Transabdominal Preperitoneal ◽

Open Mesh Repair ◽

Open Mesh ◽

Repair Techniques

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Rare giant inguinal hernia causing end-stage dialysis-dependent renal failure

BMJ Case Reports ◽

10.1136/bcr-2019-233140 ◽

2020 ◽

Vol 13 (4) ◽

pp. e233140

Author(s):

Jacob Levi ◽

Karl Chopra ◽

Mubashar Hussain ◽

Shafiul Chowdhury

Keyword(s):

Inguinal Hernia ◽

Mesh Repair ◽

Obstructive Uropathy ◽

Kidney Injury ◽

Past Medical History ◽

Bladder Hernia ◽

Open Mesh Repair ◽

Catheter Tip ◽

End Stage ◽

Open Mesh

A 72-year-old man presented with urinary retention, weight loss, haematuria and severe acute kidney injury. He had never before been admitted to hospital and his past medical history included only an inguinal hernia. On examination, he appeared uraemic and had a right-sided painful hernia. A three-way catheter was inserted, bladder washouts performed and irrigation started. An ultrasound showed severe bilateral hydronephrosis and a ‘thickened bladder’ and this was thought to be obstructive uropathy secondary to bladder cancer. Twenty-four hours later his hernia doubled in diameter, became incarcerated and a CT of the abdomen and pelvis showed an inguinal hernia of both bladder and bowel, with the catheter tip inside the bladder hernia. He was taken to theatres and an open mesh repair was performed with a rigid cystoscopy to assist in locating and reducing the bladder. He required intensive care and dialysis postoperatively and remains on regular dialysis following discharge.

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