Repair of the giant inguinal hernia: More than mere reduction and reinforcement

Ramji, Ashwath Narayan

doi:10.33545/surgery.2019.v3.i2a.09

Cited by 2 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Regarding the treatment of inguinal hernia, the classic method of treating inguinal hernia is tension-free single mesh repair, which remains popular among today's surgeons. This is done either open or laparoscopic hernioplasty [8] . However, the recurrence rate of inguinal hernia is increasing and may be recurrent to the fourth or the fifth time.…”

Section: Introductionmentioning

confidence: 99%

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Behiery¹,

Sayouh

Salem

2021

International Journal of Medical Arts

View full text Add to dashboard Cite

Background: Recurrence after surgical treatment of inguinal hernia is still a challenge facing surgeons during their daily practice. Aim of the Work:The current trial aims to compare single and double mesh placement in huge inguinal hernia repair.Patients and Methods: 40 cases were involved in the study. They were classified into two equal groups according to the operative technique [A for single mesh and B for double mesh]. The study's candidates were examined and investigated thoroughly regarding their complaint, the presence of a clinically detectable hernia in the inguinal region, its size, characters, onset, duration, and associated symptoms. Then, all were examined clinically and prepared for surgical intervention after lab investigations. Results:The mean ages were 56 and 56.9 years for groups A and B. Both groups were comparable to body mass index, risk factors, type of hernia, hernia side, and intraoperative blood loss. There was a significant decrease in operative time in group A when compared to group B [54.50 ± 8.256 vs. 61.25 ± 6.664 minutes, respectively]. The overall rate of complications was lower in group B when compared to group A [30.0% vs. 50.0%, respectively]. Complications in group A were seroma [10.0%], wound infection [5.0%], scrotal edema [25.0%], and chronic pain [10.0%]; while in group B, seroma [10.0%], scrotal edema [5.0%], chronic pain [15.0%]. Recurrence was confined to group A, and reported to three patients [15.0%]. However, the difference was statistically nonsignificant. Conclusion: Double mesh technique is a safe and efficacious approach for managing huge inguinal hernia. It is associated with lower rate of recurrence than the single mesh approach with comparable operative time, complications, and outcomes.

show abstract

Section: Introductionmentioning

confidence: 99%

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Behiery¹,

Sayouh

Salem

2021

International Journal of Medical Arts

View full text Add to dashboard Cite

show abstract

“…2 Over 1 million surgeries are performed per year in the United States of America (which has a total population of less than 350 million) and over 100,000 surgeries performed every year in the United Kingdom 3 (of a population of around 66 million). The exact figure for India is unavailable, but with the average global incidence of hernia surgery being 3 per 1000 population yearly 4 , and extrapolation of the global data, India with a population of 1.36 billion would likely be be home to over 2 million hernia surgeries every year. Groin hernias account for over 3/4 th of all abdominal wall hernias, and with a life-time risk of developing inguinal hernias being over 25% in men, indicating that one quarter of all men face the odds of developing an abdominal hernia.…”

Section: Introductionmentioning

confidence: 99%

Anthropology of Inguinal Hernia

Ramji¹

2019

IJCMR

Self Cite

View full text Add to dashboard Cite

Introduction: Inguinal hernias are among the most common surgical problems worldwide. Hernias, defined as the protrusion of a whole or part of an organ through the containing wall, along with difficult childbirth and problematic bowel evacuation are thought to be the price we pay for adopting the bipedal gait from previously crawling on all fours. The aim of this study was to analyse the anthropological characteristics of patients with inguinal hernias, so as to determine the influence of behavior, evolutionary development and flawed physiology of their pathogenesis, and thereby identify potential domains for risk reduction. Material and Methods: This was a non-interventional, retrospective study. 100 consecutive patients electively operated for inguinal hernias were included and their clinical profiles studied. The details of their demography and presentation were tabulated and analyzed. Results: Inguinal hernia had an overwhelmingly male preponderance, with 99% of patients being male. The mean age of patients at presentation was 56.5±13.27 years. In 93% of patients the condition was unilateral, where as it was bilateral in 7%. Right sided hernia was more common with 49% of cases, left side was involved in 44%. 49% were found to be direct hernias, 36% were indirect and 8% were pantaloons hernias, with the remainder being bilateral hernias. Right sided direct hernias were the most commonly encountered, accounting for 28% of the cases, followed by left indirect hernias which were seen in 24%. Conclusions: The epidemiological profile of inguinal hernias in the study population translate to statistically significant findings with respect to demographic features and risk factors for inguinal hernias, well elucidating the anthropology of the condition. This study showed statistically significant association between inguinal hernia and high BMI, older age and positive family history, rather than the conventional suggestion that increased intra-abdominal pressure is the major risk factor. Thus, the role of anthropology and physiography in the development of inguinal hernias cannot be overlooked.

show abstract

Repair of the giant inguinal hernia: More than mere reduction and reinforcement

Cited by 2 publications

References 7 publications

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Anthropology of Inguinal Hernia

Contact Info

Product

Resources

About