Inguinal and Femoral Hernias

Rydell, William B.

doi:10.1001/archsurg.1963.01310150129030

Cited by 23 publications

(4 citation statements)

References 7 publications

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“…Hydroceles occur 0.5% after the traditional inguinal herniorrhaphy [22]. The etiology of formation is probably the same as in open hernias.…”

Section: Types Of Complicationsmentioning

confidence: 98%

“…Although most report very low complication rates with open hernia repairs, rates as high as 15-19% have been reported [5,22,26]. With laparoscopic repairs, rates of 4-21% have been reported [13, 15-17, 24, 27].…”

Section: Types Of Complicationsmentioning

confidence: 99%

“…This has given variable results. With traditional inguinal herniorrhaphy, 0.7-7% will experience wound hematomas [12,20,22].…”

Section: Types Of Complicationsmentioning

confidence: 99%

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Complications and recurrences associated with laparoscopic repair of groin hernias

Tetik

Arregui

Dulucq³

et al. 1994

Surg Endosc

146

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Although the laparoscopic technique is a new approach to groin hernia, it is becoming more widely accepted as an alternative to traditional open techniques. This study is a preliminary review of complications and recurrences. A questionnaire specific for complications was sent to each investigator. From 12/89 to 4/93, 1,514 hernias were repaired; 119 (7.8%) were bilateral and 192 (12.7%) recurrent. There were 860 indirect, 560 direct, 43 pantaloon, 37 femoral, and 6 obturator hernias, and 8 were not specified; 553 were repaired using a transabdominal preperitoneal mesh technique (TAPP), 457 with a total extraperitoneal technique (TEP), 320 with intraperitoneal onlay mesh (IPOM), 102 by ring closure, and 82 involved plug and patch technique. Eighteen intraoperative and 188 postoperative complications were seen. The total complication rate was 13.6%, of which 1.2% were intraoperative. Of the intraoperative complications, 12 were related to the laparoscopic technique, three were related to the hernia repair, and one was related to anesthesia. The rate of conversion to open was 0.8%. Of the postoperative complications, there were 95 local, 25 neurologic, 23 testicular, 23 urinary, 10 mesh, and 12 miscellaneous. There were 34 recurrences after the 1,514 hernia repairs (2.2%). The follow-up was reported in 825 patients for an average of 13 months. The recurrence rate varied drastically with the technique: A 22% recurrence rate after the plug and patch vs 3%, 2.2%, 0.7%, and 0.4% with the ring closure, IPOM, TAPP, and TEP, respectively. Laparoscopic repair of groin hernia can be safely performed. Complications, mostly minor, diminish with experience. The recurrence rate is less with large mesh which is anchored.

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“…Hydroceles occur 0.5% after the traditional inguinal herniorrhaphy [22]. The etiology of formation is probably the same as in open hernias.…”

Section: Types Of Complicationsmentioning

confidence: 98%

Section: Types Of Complicationsmentioning

confidence: 99%

See 1 more Smart Citation

Complications and recurrences associated with laparoscopic repair of groin hernias

Tetik

Arregui

Dulucq³

et al. 1994

Surg Endosc

146

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“…The Western literature showed incidence with 2.6% as reported by Rydell though Desarda noticed it to be only 0.25%. 11 In present study late complication occurs in 2 cases (3.33%) suffering from neuralgia due to nerve entrapment and 1 case (1.67%) of wound dehiscence occurs in a patient suffering from diabetes mellitus. Patient treated with regular dressing and discharged at 10 th post-operative days after giving the secondary suture.…”

Section: Resultsmentioning

confidence: 46%

Prospective study on clinical outcomes of lichtensteins tension free inguinal hernioplasty under local anaesthesia

Brar

Bajwa

2017

Int Surg J

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Background: Hernia may be generally defined as a protrusion of viscus or part of a viscus though an abnormal opening in the walls of its containing cavity. The Greek word ‘hernia’ means an offshoot, a budding or bulge. But the Latin word ‘hernia’ means a rupture or tear. The most important principle in reconstruction surgery is to avoid tension when restoring the muscular or elastic structures. The modern biologically based concept for repair of groin hernia, acquired during adult life, is application of a patch, avoidance of tension and use of local, spinal or epidermal anaesthesia.Methods: Present study is a Prospective study conducted in the Department of General Surgery in Sri Guru Ramdas Medical College and Hospital. Patients admitted in wards with inguinal hernia from General Surgery out-patient Department were selected for study. The study consisted of 60 patients between 15 to 74 years; The study period is from April 2015 to September 2016. The main aim and objective of any hernia repair is to avoid any recurrence and also acceptability to the patient in terms of pain, discomfort, other complications during follow up and obviously in terms of cost- effectiveness of repair.Results: The present study comprises 60 cases of inguinal hernia who were admitted in the wards of Department of General Surgery in the Sri Guru Ramdas Institute of Medical sciences and research. The study was carried out during span of 1½ years. All of these cases were studied prospectively and results were analysed from various angles. Among total 60 cases in this study, maximum cases belonged to age group 35-44 years ;15 (25%) and minimum to age group 65-74 years 5 (8.3%). Case distribution as per type of hernia, it was observed that among total 60 cases 34 (56.67%)had inguinal hernia and rest 26 (43.3%) had inguino scrotal hernia. Most 0f the cases had right sided hernia 35 (58.33%), left sided hernia was seen only in 23 cases (38.33%) whereas bilateral hernia was present in 2 (3.33%).Conclusions: From our results of observations in the study we can conclude that-The methods of Lichtenstein’s tension free inguinal hernioplasty under local anaesthesia is safe, simple, effective, economical, and without any side effects such as hypotension, nausea, vomiting, urinary retention, and spinal headache.

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Midline Extraperitoneal Approach for Bilateral Inguinofemoral Hernias and Prostatic Obstruction

Shah¹

1972

Arch Surg

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Inguinal and Femoral Hernias

Cited by 23 publications

References 7 publications

Complications and recurrences associated with laparoscopic repair of groin hernias

Complications and recurrences associated with laparoscopic repair of groin hernias

Prospective study on clinical outcomes of lichtensteins tension free inguinal hernioplasty under local anaesthesia

Midline Extraperitoneal Approach for Bilateral Inguinofemoral Hernias and Prostatic Obstruction

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