Inguinal Hernia: A New (Not Anatomical) Classification

Abstract

Inguinal hernia is one of the most frequently found surgical problems, accounting for about 70-75 per cent of all hernia operations. Inguinal hernia represents a social disease, with considerable management costs. All classifications of inguinal hernia have something of arbitrary and artificial, and unfortunately are based on anatomic and functional criteria. Moreover, single hernia defect can be classified only during the operation and not in a preoperative setting. The aim of this study has been to evaluate the operative times and consequently identify factors that affect the surgical time. In this way we hope to create a new classification useful to standardize the operative time management. From consecutive patients were enrolled which underwent to inguinal hernioplasty, and they have been observed by the same surgical team. We evaluated clinical parameters (age, sex, BMI, hernia size defect, reducibility, primitive or recurrent hernia, previous hernia surgery) and compared them with surgical times. Data analysis shows a statistically significant relationship between reducibility, recurrent hernia, male gender, BMI and surgical times. This study confirms that an optimal clinical patient evaluation should always be the first step to an effective organizational choice and it allows realistic predictions about the duration of inguinal hernioplasty.

An Overview of The Risk Factors for Patients with Inguinal Hernia at Aloei Saboe Hospital in Gorontalo

“…6 Inguinal hernias are one of the most frequently encountered surgical problems, accounting for approximately 70-75% of all hernia operations. 2 The risk factor for the occurrence of hernias that has been obtained in a research result is that the number of respondents in the final elderly category was 16 people, covering around 35.6% of the total sample, with ages ranging from 56-65 years. 6 Most of the research respondents indicated that 35.6% of them worked as laborers.…”

“…1 Inguinal hernia is one of the most frequently encountered surgical problems, accounting for approximately 70-75% of all hernia operations. 2 This inguinal hernia most often occurs in the age range between 75 and 80 years. 3 Based on research from Merry et al, the most common inguinal hernias were between the ages of 41-65 years, namely 50 people (43.8%), as many as 27 people (23.7%) experienced inguinal hernias at the age of more than 65 years, as many as 13 people (11.4%) had inguinal hernias between the ages of 0-5 years, 10 people (8.8%) had inguinal hernias between the ages of 21-40 years, 8 people (7.0%) subjects experienced inguinal hernias between the ages of 11-20 years, and as many as 6 (5.3%) subjects experienced inguinal hernias at the ages of 11-20 years.…”

“…More than 20 million patients undergo inguinal hernia repair surgery. 2 Apart from the two factors above, work factors are one aspect that is often assessed in looking at the risk factors for inguinal hernias. Based on data from Regional Health Research (2018), in 2017 in Indonesia, the majority of hernia cases in Indonesia occurred in heavy workers, reaching 70.9% (7,347), and the most were in Banten at 76.2% (5,065), while the lowest number was in the Papua region, namely 59.4% (2,563).…”

“…2 Apart from the two factors above, work factors are one aspect that is often assessed in looking at the risk factors for inguinal hernias. Based on data from Regional Health Research (2018), in 2017 in Indonesia, the majority of hernia cases in Indonesia occurred in heavy workers, reaching 70.9% (7,347), and the most were in Banten at 76.2% (5,065), while the lowest number was in the Papua region, namely 59.4% (2,563). Based on research conducted by Ryan et al Based on job distribution data, the majority of inguinal hernia sufferers worked as laborers, namely 16 subjects (35.6%) and the smallest number worked as farmers, namely 3 subjects (6.7%).…”

Selective spinal anesthesia with hyperbaric prilocaine provides better perioperative pain control than local anesthesia for ambulatory inguinal hernia repair without affecting discharging time: a randomized controlled trial

“…The main options for inguinal hernia repair include open, laparoscopic, and robotic surgery. The open approach is the most chosen by the majority of surgeons, due to advantages in costs, ease of execution, hospital length of stay, and minimal invasiveness, making it perfectly suitable for ambulatory or day-surgery settings [6,7].…”