The European hernia society groin hernia classication: simple and easy to remember

Miserez, Marc; Alexandre, J. H.; Campanelli, G.; Corcione, Francesco; Cuccurullo, Diego; Pascual, María Sancho; Hoeferlin, A.; Kingsnorth, Andrew; Mandalà, Vincenzo; Palot, J. P.; Schumpelick, Volker; Simmermacher, R. K. J.; Stoppa, R; Jb, Flament

doi:10.1007/s10029-007-0198-3

Cited by 329 publications

(179 citation statements)

References 15 publications

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“…The demographic and surgery-related parameters included age (years), BMI (kg/m 2 ), ASA-score (I, II, III, IV) as well as EHS classification (hernia type: medial, lateral, femoral, scrotal) and defect size: grade I = < 1.5 cm, grade II: 1.5-3 cm, grade III: > 3 cm) (21) and general risk factors (nicotine, COPD, diabetes, cortisone, immunosuppression, etc.). Risk factors were dichotomized, i.e., 'yes' if at least one risk factor is positive and 'no' otherwise.…”

Section: Methodsmentioning

confidence: 99%

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

et al. 2017

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with regard to the intraoperative complications, complication-related reoperations, re-recurrences, pain at rest, pain on exertion, or chronic pain requiring treatment. The only difference identified was a significantly higher postoperative seroma rate after TAPP, which was influenced by the surgical technique, previous open primary operation and EHS-classification medial and responded to conservative treatment. Conclusion TEP and TAPP are equivalent surgical techniques for recurrent inguinal hernia repair following previous open primary operation. The choice of technique should be tailored to the surgeon's expertise.

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Section: Methodsmentioning

confidence: 99%

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

et al. 2017

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“…Nyhus use anatomical aspect [23] and Schumpelick classification factors are size of the defect, position of hernia, the site of the incision and the number of previous repairs [24]. The European Hernia Society (EHS) classified the hernias to lateral medial and femoral types and it is an easy to remember kind [25]. The new classification of Abdominal hernias is: groin hernias (femoral or inguinal) and ventral hernias (umbilical, epigastric, Spigelian, lumbar, and incisional) [26].…”

Section: Discussionmentioning

confidence: 99%

A Brief Review of Jorjani’s Views on Hernias

Farahani

Abbaszadeh

MahtabTeymuri

et al. 2017

MOJAP

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Seyed Esmail Jorjani is one of the greatest Iranian physicians (1042-1136 AC), he has written a book entitled Zakhirah-I Khvarazm Shahi (known as Zachariah). This book is oldest medical encyclopedias written in Persian, it contains a complete subject about hernia. Jorjani described anatomy of anterior abdominal wall and its layers include peritoneum, process vaginalis and tunica vaginalis of testis. He argued about hernias from pathology and etiological point of view and classified abdominal hernias in thousand years ago. European Hernia Society classified the hernias into: lateral, medial and femoral (2007). Birindelli classified anterior abdominal hernias into groin hernias, ventral hernias (2017). Jorjani classified hernia into visceral, flatus, hydrocele (1130AC). The findings of this paper show the hernias subject of Zachariah has no scientific contradiction with new references.

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“…Based upon Gilbert's classification, Zollinger defines the pantaloon hernia as a combined protrusion, regardless of whether these hernias are non converging [11]. The recent classification of the European Hernia Society (EHS) embodies a fruitful effort that simplifies the morphological evaluation of groin protrusions [12]. However, EHS characterization of combined hernia remains quite vague and is subject to personal evaluation.…”

Section: Discussionmentioning

confidence: 99%

Combined inguinal hernia in the elderly. Portraying the progression of hernia disease

Amato

Agrusa

Rodolico

et al. 2016

International Journal of Surgery

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a b s t r a c tIntroduction: Identification of a combined hernia is a common occurrence in the course of inguinal hernia repair. This type of protrusion disease seems to affect the elderly, in particular. Very few investigations have been carried out to ascertain the structural changes that occur in the groin affected by this clinical condition. Method: Analysis of intraoperative findings of combined inguinal hernias evidenced in the elderly, from the most recent 100 groin hernia repair procedures carried out by a single operator, represents the basis of the article. Protrusions that presumably represent the forerunner of this type of hernia were also analyzed: double ipsilateral inguinal hernias composed of a direct and an indirect protrusion. The gross anatomical, as well as histological, modifications occurring during the development of combined protrusions were also evaluated. Results: Combined hernia was the most frequent protrusion in patients over 65 years, accounting for 36% of the total in this patient group. In the same patient cohort, double inguinal hernia further involves 22% of elderly subjects. Macroscopically, progressive disruption of the inguinal back wall and degenerative reabsorption of the inferior epigastric vessels were evidenced. Histologically, inflammatory infiltrate, significant nerve and vascular injuries, along with severe muscle degeneration were recognized. Conclusions:The results seem to confirm that inguinal hernia is an unremitting progressive disease caused by chronic compressive structural damage. Combined hernias represent a frequent clinical condition in the elderly consequent to long-term degenerative damage. Therapy of combined protrusions must consider the impact of visceral vector forces.

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The European hernia society groin hernia classication: simple and easy to remember

Cited by 329 publications

References 15 publications

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

A Brief Review of Jorjani’s Views on Hernias

Combined inguinal hernia in the elderly. Portraying the progression of hernia disease

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