Groin hernia repair in Scotland

Hair, Alan; Duffy, K.; McLean, Jennifer; Taylor, Steven; Smith, Hugh; Walker, Andrew; Macintyre, I. M. C.; O’Dwyer, PJ

doi:10.1046/j.1365-2168.2000.01598.x

Cited by 177 publications

(82 citation statements)

References 5 publications

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“…According to the Swedish hernia register 9 there has been a shift from regional to general anaesthesia during the past 10 years. In a survey from Scotland, where 95 per cent of the patients had open hernia repair, 85 per cent of these patients had general anaesthesia 12 .…”

Section: Discussionmentioning

confidence: 99%

Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Eklund¹,

Rudberg²,

Smedberg

et al. 2006

British Journal of Surgery

131

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Background: Laparoscopic herniorrhaphy has emerged as a recognized operative method for inguinal hernia repair. This study compared the short-term results of two tension-free methods of repair: totally extraperitoneal (TEP) laparoscopic patch repair and the open Lichtenstein mesh technique.Methods: A total of 1513 men from 11 hospitals who presented with a primary unilateral inguinal hernia were randomized to one of the two methods. Operating time, short-term complications, reoperations, postoperative pain, consumption of analgesics, sick leave and time to resumption of normal physical activities were recorded. Results: Some 1371 of the 1513 men underwent surgery, 665 in the TEP group and 706 in the Lichtenstein group. The median duration of operation was 55 min for both procedures and 91·0 per cent of the patients in both groups were discharged on the day of operation. Patients in the TEP group experienced less postoperative pain (P < 0·001), consumed fewer analgesics (P < 0·001), had a shorter period of sick leave (7 versus 12 days; P < 0·001) and a shorter time to resumption of normal physical activity (20 versus 31 days; P < 0·001). Conclusion:The TEP technique took no longer to perform, and was associated with less postoperative pain, a shorter period of sick leave and a faster recovery, compared with open Lichtenstein hernia repair.

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Section: Discussionmentioning

confidence: 99%

Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Eklund¹,

Rudberg²,

Smedberg

et al. 2006

British Journal of Surgery

131

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“…Scotland, 7% of their patients developed hematoma within 3 months after surgery 13 and 5-8% of the patients developed wound infections despite antibiotic prophylaxis. 2,13,14,15 The clinical effectiveness of this material for hernioplasty is not in doubt.…”

Section: Discussionmentioning

confidence: 99%

Study of open inguinal hernia repair by mosquito net mesh versus polypropylene mesh

et al. 2016

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“…The choice of technique depends on several factors, including the type of hernia, anaesthetic considerations, cost, period of postoperative disability and the surgeon's expertise. [16][17][18][19] In the primary management of all complicated hernias from surgical reduction and repair accompanied by aggressive pre and postoperative care is suggested. Elective repair should be deferred in case of advancing age and in case in which groin hernia may be difficult to diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Clinical study on complicated presentations of groin hernias

Teerthanath

2017

Int J Res Med Sci

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Background: Groin hernia is a very common type abdominal wall hernia encountered in surgical practice. Irreducibility, obstruction and strangulation are its commonest complications which usually presents as acute emergencies. Emergency repair of complicated hernias is associated with poor prognosis and a high rate of postoperative complications even with better care, improved anaesthetic management and advanced surgical techniques. The aim of this study was to determine the various modes of presentation, clinical finding, diagnostic and therapeutic strategies and to evaluate the postoperative outcome in complicated groin hernia surgeries in our set up. Methods: The study was carried out among 40 patients of groin hernia, who had complicated clinical presentation like irreducibility, strangulation and obstruction in the department of general surgery, during the period from March 2012 to June 2014. Patients were enrolled into the study after proper consent for detailed clinical examination, investigation and subsequent treatment. The Data obtained included demographic characteristics, presentation, operative findings and outcome. The patients were followed up for immediate and late complications for once a week for 1 months, once every month for the next 6 months. After data collection, analysis was done with help of by SPSS software version 21. Results: A total of 40 groin hernia patients with complicated presentation were evaluated during the study period. Among these cases 38 cases had inguinal hernias and two cases had femoral hernia. Majority of the patients were in 5th and 6th decade. Complicated presentation of groin hernia was commonly seen in males (95%) than in females (5%) with male to female ratio of 19:1. Inguinal hernia complications were seen predominantly in males and femoral hernia complications in females. Right sided hernias were more common. Incarceration was the commonest complication seen in 70% of case followed by strangulation (30%). Incarceration was high (17.5%) in the age group of 64-73 years and 44 -53 years. Strangulation was high in the age group of 54-63 years. The duration of hernia varied for 1-2 years in 42.5% of cases and 3-6 years in 27.5% of cases. Majority of the patients (30%) presented with localized groin pain, vomiting, constipation and abdominal distension. All patients presented with swelling in the inguinoscrotal region, which was tender, and there was no impulse on coughing and 35% of patients had cardiorespiratory illness. Majority of the cases (34 numbers) were operated as emergency procedure. Viable bowel was seen in 77.5% of cases. Bowel resection and end-to-end anastomosis was done in all cases of non-viable bowel and orchidectomy in atrophied and gangrenous testis. The commonest postoperative complication encountered in the study was wound infection (22.5%) and scrotal seroma (17.50%). There was no evidence of recurrence in any of the operated cases. Conclusions: Complicated presentations of groin hernias like, incarceration and strangulation are seen in ...

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Groin hernia repair in Scotland

Abstract: An open mesh repair using general anaesthesia has become the repair of choice for a groin hernia in Scotland. Despite a high incidence of wound complications, patients are satisfied with this operation.

Cited by 177 publications

References 5 publications

Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair

Study of open inguinal hernia repair by mosquito net mesh versus polypropylene mesh

Clinical study on complicated presentations of groin hernias

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