Diagnosis and classification of inguinal hernias

Kraft, B.; Kolb, H; Kuckuk, B.; Haaga, S.; Leibl, B. J.; Kraft, K.; Bittner, R.

doi:10.1007/s00464-002-9283-y

Cited by 47 publications

(24 citation statements)

References 23 publications

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“…Thus, the repair of bilateral inguinal hernias done simultaneously leads to considerable advantages not only for the individual patient but also for the economy and the health care system. A special advantage of the transabdominal approach is the recognition of so-called ''occult'' or preoperative unknown hernias on the contralateral side, which is found in about 3.6% of the patients [21]. In the open approach these hernias cannot be diagnosed during surgery.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature

et al. 2010

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Section: Discussionmentioning

confidence: 99%

Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature

et al. 2010

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“…Few reports deal with this, despite representing an important indicator. It is worth noting a study by Bittner and coll [13]. that reports a 9% incidence of combined hernia, even though our institutional datasheet reaches a frequency of 17%.…”

Section: Discussionmentioning

confidence: 65%

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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“…But improvements in ultrasound diagnostic [33] as well as laparoscopic observations have begun to prove that bilateral hernia is more frequent than previously suspected [34,35]. The presented study shows that about 28 % of the patients were synchronously operated on because of a bilateral hernia, but during the 5-year follow-up an additional 13.8 % developed a hernia on the contralateral side; thus, bilateral hernia may occur in more than 40 % of the patients.…”

Section: Discussionmentioning

confidence: 75%

Effectivity of laparoscopic inguinal hernia repair (TAPP) in daily clinical practice: early and long-term result

2016

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Diagnosis and classification of inguinal hernias

Abstract: Although a diagnosis of inguinal hernia can be established reliably by clinical and ultrasound examination, only an approximate classification is possible by these methods.

Cited by 47 publications

References 23 publications

Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature

Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature

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

Effectivity of laparoscopic inguinal hernia repair (TAPP) in daily clinical practice: early and long-term result

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