Inguinal hernia surgery
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Inguinal hernia Microchapters |
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Diagnosis |
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Inguinal hernia surgery On the Web |
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American Roentgen Ray Society Images of Inguinal hernia surgery |
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Risk calculators and risk factors for Inguinal hernia surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Farima Kahe M.D. [2]
Overview
Inguinal hernia repair is surgery to repair a hernia in the abdominal wall of your groin. A hernia is tissue that bulges out of a weak spot in the abdominal wall. The intestines may bulge out through this weakened area. During hernia repair, this bulging tissue is pushed back in. The abdominal wall is strengthened and supported with sutures (stitches), and sometimes mesh.
Surgery
- Surgery is the mainstay of treatment for inguinal hernia. There are 3 general types for inguinal hernia repair:[1]
- Herniotomy (removal of the hernial sac only)
- Herniorrhaphy (herniotomy plus repair of the posterior wall of the inguinal canal)
- Hernioplasty (herniotomy plus reinforcement of the posterior wall of the inguinal canal with a synthetic mesh)
- Classification of current repair techniques for inguinal hernias include:[2][3][4][5]
- Tension-free prosthetic repairs
- Anterior repairs
- lichenstein repair and its modification
- Plug repairs
- Patch and plug repairs
- Double-layer devices
- Posterior (prepritoneal) repairs
- Open techniques via inguinal incision
- Stoppa repair
- Laparoscopic/endoscopic repairs
- Transabdominal preperitoneal(TAPP) repair
- Total extraperitoneal (TEP) repair
- Intraperitoneal onlay mesh (IPOM) repair
- Anterior repairs
- Tissue-suture repairs
- Bassini-Shouldice technique and its modifications
- Marcy repair
- Tension-free prosthetic repairs
| Inguinal hernia | |||||||||||||||||||||||||
| Strangulated | Symptomatic | Asymptomatic or minimally symptomatic | |||||||||||||||||||||||
| Emergency surgery(consider non-mesh when risk of infection | Elective surgery | Consider watchful waiting | |||||||||||||||||||||||
| Primary unilateral | Primary bilateral | Recurrent | |||||||||||||||||||||||
| Mesh Lichtenstin or endoscopic | Mesh endoscopic or Lichtenstin | ||||||||||||||||||||||||
| After anterior technique | After posterior technique | ||||||||||||||||||||||||
| Mesh technique endoscopic or open posterior approach | Mesh technique Lichenstein | ||||||||||||||||||||||||
Related Chapter
References
- ↑ O'Dwyer PJ, Norrie J, Alani A, Walker A, Duffy F, Horgan P (2006). "Observation or operation for patients with an asymptomatic inguinal hernia: a randomized clinical trial". Ann. Surg. 244 (2): 167–73. doi:10.1097/01.sla.0000217637.69699.ef. PMC 1602168. PMID 16858177.
- ↑ Shouldice EB (2003). "The Shouldice repair for groin hernias". Surg. Clin. North Am. 83 (5): 1163–87, vii. doi:10.1016/S0039-6109(03)00121-X. PMID 14533909.
- ↑ Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009). "European Hernia Society guidelines on the treatment of inguinal hernia in adult patients". Hernia. 13 (4): 343–403. doi:10.1007/s10029-009-0529-7. PMC 2719730. PMID 19636493.
- ↑ Wake BL, McCormack K, Fraser C, Vale L, Perez J, Grant AM (2005). "Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair". Cochrane Database Syst Rev (1): CD004703. doi:10.1002/14651858.CD004703.pub2. PMID 15674961.
- ↑ Elsebae MM, Nasr M, Said M (2008). "Tension-free repair versus Bassini technique for strangulated inguinal hernia: A controlled randomized study". Int J Surg. 6 (4): 302–5. doi:10.1016/j.ijsu.2008.04.006. PMID 18573702.