Inguinal hernia repair : the impact of ambulatory and minimal access surgery

2002 ◽  
Author(s):  
Hung Lau
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Minimal Access Surgery ◽  
Minimal Access ◽  
The Impact ◽  
Access Surgery

scholarly journals Open Versus Laparoscopic Incarcerated or Strangulated Inguinal Hernia Repair – A Review

2020 ◽  
Vol 4 (12) ◽  
Author(s):  
Danilo Coco ◽  
Silvana Leanza
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Groin Hernia ◽  
Bowel Resection ◽  
Laparoscopic Approach ◽  
Minimal Access Surgery ◽  
Minimal Access ◽  
Access Surgery

Minimal access surgery or laparoscopic surgery has revolutionized the surgical world since its introduction in the 1980s. The evidence for elective laparoscopic groin hernia repair is well established. However, there are only handfuls of literatures on the evidence of emergency laparoscopic groin hernia repairs. In this review article we delineated details on how laparoscopy in emergency incarcerated or strangulated inguinal hernia repair benefits patients, and surgical technique and special precaution required during the operation. During open surgery surgeon to idle for 10–20 min trying to make a return on the bowel condition to prepare for bowel resection, and since its emergency condition and time essence for the surgeon so most of the time, surgeon would just proceed for bowel resection. Whereas, laparoscopic surgery allows ample time for the strangulated bowel to recover, and this in fact will avoid unnecessary laparotomy and bowel resection since most of the time the strangulated bowel can recovered if it allowed enough time for them to revascularize. In conclusion, laparoscopic approach for incarcerated or strangulated inguinal emergency hernias repair has its benefits in several areas over minimal access surgery which contribute to the improvement in clinical outcomes. However, careful selection of patients and a sufficient knowledge of anatomy and expertise in the reduction of the strangulated organs are required.

scholarly journals A Prospective Clinical Study on the Impact of Occupation on Inguinodynia after Inguinal Hernia Repair

2018 ◽  
Vol 08 (02) ◽  
Author(s):  
Ojas Vijayanand Potdar ◽  
Nitin Borle ◽  
Sanjay Nagral ◽  
Shraddha Bhone ◽  
Amrita Patkar
Keyword(s):  
Inguinal Hernia ◽  
Clinical Study ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Prospective Clinical Study ◽  
The Impact

Postoperative Quality of Life after Open Transinguinal Preperitoneal Inguinal Hernia Repair Using Memory Ring or Three-dimensional Devices

2013 ◽  
Vol 79 (8) ◽  
pp. 786-793 ◽  
Author(s):  
Kristopher B. Williams ◽  
Joel F. Bradley ◽  
Blair A. Wormer ◽  
Allay Zemlyak ◽  
Amanda L. Walters ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Three Dimensional ◽  
Significant Independent Predictor ◽  
Forward Stepwise ◽  
Common Technique ◽  
The Impact

A transinguinal preperitoneal (TIPP) approach has become a common technique for inguinal hernia repair. Our goal was to compare the impact of the two mesh designs for this operation: a flat mesh with a memory ring device (MRD) or a three-dimensional device (3DD) containing both onlay and preperitoneal mesh components. The prospective International Hernia Mesh Registry (2007 to 2012) was queried for MRD and 3DD inguinal hernia repairs. Outcomes and patient quality of life (QOL), using the Carolinas Comfort Scale (CCS), were examined at 1, 6, 12, and 24 months. Standard statistical methods were used, and multivariate logistic regression was performed using a forward stepwise selection method. TIPP was performed in 956 patients. Their average age 57.4 ± 15.3 years, 94.0 per cent were male, and mean body mass index was 25.7 ± 3.2 kg/m2. MRD was used in 131 and 3DD in 825. Follow-up was 97, 82, 87, and 80 per cent at 1, 6, 12, and 24 months, respectively. Complications were not significantly different ( P > 0.05). Recurrence was 0.8 per cent for MRD and 2.1 per cent for 3DD ( P = 0.45). Comparing patient outcomes of MRD with 3DD at 1 month, 18.9 versus 11.5 per cent had symptoms of mesh sensation ( P = 0.02); 28.7 versus 14.8 per cent had movement limitations ( P < 0.01). MRD use was a significant independent predictor of movement limitation (odds ratio, 2.3; confidence interval, 1.4 to 3.7). No significant differences in CCS scores were seen at 6, 12, and 24 months. TIPP repair is safe and has a low recurrence rate. Early postoperative QOL is significantly improved with a 3DD mesh compared with MRD.

The impact of pain on daily activities following open mesh inguinal hernia repair

Hernia ◽  
2007 ◽  
Vol 12 (2) ◽  
pp. 153-157 ◽  
Author(s):  
E. Staal ◽  
S. W. Nienhuijs ◽  
M. E. Keemers-Gels ◽  
C. Rosman ◽  
L. J. A. Strobbe
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Daily Activities ◽  
The Impact ◽  
Open Mesh

scholarly journals Minimal Accesss (TEP) versus Open Inguinal Hernioplasty: A Pragmatic Randomized Control Trial

2021 ◽  
Vol 7 (1) ◽  
pp. 75-78
Author(s):  
Ratna Rani Roy ◽  
Pankaj Kumar Saha ◽  
Md Abdulla Yusuf ◽  
Haridas Saha ◽  
Md Ibnul Hasan ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Technique ◽  
Minimal Access ◽  
Post Operative Pain ◽  
Group A ◽  
Randomized Control ◽  
Group B ◽  
Duration Of Operation

Background: Inguinal hernia repair is the most frequently performed operation in general surgery. The standard method for inguinal hernia repair had changed little over a hundred years until the introduction of synthetic mesh. This mesh can be placed by either using an open approach or by using a minimal access laparoscopic technique. Objectives: The purpose of the present study was to compare minimal access laparoscopic mesh techniques with open techniques in hernioplasty. Methodology: This pragmatic randomized control trial was conducted in the Department of Surgery at Shaheed Suhrawardy Medical College & Hospital, Dhaka from January 2014 to December 2015 for a period of two years. Patients at any age with both sexes who were presented with inguinal hernia were selected as study population. These patients were divided into two group designated as group A and group B. In group A inguinal hernia repair was performed by laparoscopic technique and in group B open technique was used to repair the inguinal hernia. The comparison was done between open and laparoscopic technique of inguinal hernia repair in terms of duration of operation, per-operative complication, immediate post-operative pain, numbness, duration of hospital stay and time of return to normal activities. Follow up was done from 6 months to 2 years. Results: A total number of 200 patients were recruited for repairing of inguinal hernia. Duration of operation was longer initially in the laparoscopic groups (Laparoscopic approach 90 min vs. Lichtenstein approach 60 min). Post-operative pain was another important outcome to consider when choosing between laparoscopic and open repair of inguinal hernia. Laparoscopic repair had been associated with less post-operative pain than open repair. Operative complications were uncommon for both methods. Length of hospital stay was little shorter in laparoscopic group (laparoscopic 1-2 days vs. open technique 3-4 days); however, return to usual activity was earlier for laparoscopic groups (7 days) where open group: 20-30 days. The data available showed less persisting pain (Overall 8/80 versus 12/100) and less persisting numbness (Overall 3/80 versus 7/100) in the laparoscopic groups. Conclusions: In conclusion, minimal access laparoscopic mesh technique is better than open techniques in inguinal hernia repair. Journal of National Institute of Neurosciences Bangladesh, January 2021, Vol. 7, No. 1, pp. 75-78

The Impact of Groin Surgery during Childhood on the Incidence of Inguinal Hernia Repair and Its Postoperative Complications in Adult Life

2018 ◽  
Vol 29 (03) ◽  
pp. 271-275
Author(s):  
Arestis Sokratous ◽  
Johanna Österberg ◽  
Gabriel Sandblom
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Postoperative Complication ◽  
Inguinal Hernia Repair ◽  
Adult Life ◽  
Operation Time ◽  
Study Cohort ◽  
Complication Rates ◽  
Increased Risk ◽  
The Impact

Background Pediatric inguinal hernia, hydrocele, and cryptorchidism are common congenital anomalies affecting children, and require surgical intervention in some cases. The association between surgical treatment of these conditions and acquired inguinal hernia later in life is poorly understood. The aim of this cohort study was to examine the effect of groin surgery during childhood on the incidence and surgical outcome of inguinal hernia repair in adult life. Materials and Methods Data from the Swedish Inpatient Register and the Swedish Hernia Register were cross-linked using the patient personal identity numbers. The incidence of inguinal hernia repair in patients 15 years or older in the study cohort, as well as postoperative complication rates, were compared with the expected incidence and complication rates extrapolated from the general Swedish population in 2014, stratifying for age and gender. Results Note that 68,238 children aged 0 to 14 years were found to have undergone groin surgery between 1964 and 1998. The median follow-up time after an operation in the groin was 30.8 years (21.0–50.0). Of those, 1,118 were found to have undergone inguinal hernia repair as adults (> 15 years old) between 1992 and 2013. The incidence of inguinal hernia repair in the cohort was significantly higher than that expected (1.43 [1.33–1.53]), both for men (1.32 [1.25–1.41]) and women (4.30 [3.28–5.55]). The incidence was also increased in the subgroup of patients that had undergone more than one procedure during childhood. No significant impact on postoperative complication rate, reoperation rate, or operation time was identified. Conclusion Individuals undergoing surgery in the groin during childhood are at increased risk for acquired inguinal hernia surgery later in life. Inguinal surgery during childhood did not affect the outcome of hernia repair in adult age.

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