Should surgeons repair symptomatic, clinically occult, radiologically evident, inguinal hernias? A case–control study of patient-reported outcomes

Aly, Mohamed; Farquharson, Bjm; Clarke, Owen; Atkin, Gary

doi:10.1007/s10029-020-02346-9

Cited by 5 publications

(2 citation statements)

References 19 publications

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“…Also, recent patient-reported outcome survey did not support the prophylactic repair. There was no difference in pain or restriction to function in symptomatic occult inguinal hernia patients following either surgical or conservative treatment 14. To date, there are no randomized interventional studies on the effect of surgery or a watchful waiting in terms of pain or quality of life in this subset of patients.…”

Section: Discussionmentioning

confidence: 87%

“…There was no difference in pain or restriction to function in symptomatic occult inguinal hernia patients following either surgical or conservative treatment. 14 To date, there are no randomized interventional studies on the effect of surgery or a watchful waiting in terms of pain or quality of life in this subset of patients. A trial comparing the outcomes of the 2 approaches in patients with a clinically occult inguinal hernia is urgently needed to provide data between the 2 treatment options.…”

Section: Discussionmentioning

confidence: 99%

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How Often Occult Inguinal or Spigelian Hernias Detected During Laparoscopy of Other Reasons Are Later Operated?

Paajanen

Virkkunen

Paajanen

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: The incidence of occult inguinal or Spigelian hernias found in other laparoscopies is seldom studied and their development to symptomatic hernias is unknown. Materials and Methods:The orifices of all inguinal and Spigelian hernias at linea semilunaris were carefully recorded prospectively in the laparoscopic surgery during the years 2003-2004 (104 cholecystectomies, 55 fundoplications, 36 diagnostic, and 6 miscellaneous). The patients were followed up over 15 years to find out how often the detected occult hernias at index laparoscopy become later symptomatic and were repaired.Results: The index laparoscopic operation was performed to 201 patients with a mean age of 53 ± 14 years. The overall frequency of unexpected hernias was 21% including 36 (18%) inguinal hernias, 5 (2.5%) Spigelian hernias, and 2 (1.0%) ventral hernias. At the index laparoscopy, only 5/201 inguinal and 2 Spigelian hernioplasties were concomitantly undertaken. After 15 years, data of 169 patients were available and new hernia repairs were performed only in 8 (4.7%) patients (2 inguinal, 4 umbilical, and 2 ventral hernias).Conclusions: Asymptomatic occult hernias detected during laparoscopic surgery of other reason evolve very seldom (< 5%) to symptomatic and need to be repaired.

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Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%