Mesh repair for lateral inguinal hernias: a non-evidence-based practice

Tripoloni, D. E.; García, M. I. Canaro; Cassani, F.; Zanni, Manuela; Mercado, Ana

doi:10.1007/s10029-021-02423-7

Cited by 3 publications

(2 citation statements)

References 24 publications

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“…Recurrent hernia suggests that patients have already undergone surgery or conservative treatment, and a secondary surgery can aggravate the damage to the original surgical site and increase events such as wound infection and bleeding, similar to the findings of Yamaguchi et al [ 23 ] Finally, hypertension implies the presence of underlying diseases in patients, and these have been proven to be one of the important risk factors for complications after inguinal hernia surgery. As pointed out by Tripoloni et al, [ 24 ] hypertension affects several stages of surgical procedures; for instance, hypertension may increase intraoperative blood loss in patients, induce or exacerbate myocardial ischemia, and increase the incidence of events such as stroke and renal failure, etc., and thus, proper perioperative management of patients with hypertension is required to reduce the incidence of various complications.…”

Section: Discussionmentioning

confidence: 99%

Analysis of influencing factors of complications after laparoscopic inguinal hernia repair: An observational study

Chen,

Hu,

Huang

2023

Medicine

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To explore the influencing factors of complications after laparoscopic inguinal hernia repair (LIHR). A case retrospective analysis was conducted to collect clinical data of 212 patients with inguinal hernia who underwent LIHR in our hospital from July 2020 to October 2022. The patients were followed up by telephone and subsequent visit, and the enrolled patients were divided into the complication group (n = 36) and the non-complication group (n = 176) according to the presence or absence of complications. Chi-square test was used for univariate analysis, and the data with statistical significance between groups were included in the multivariate Logistic regression analysis model to investigate the risk factors for complications associated with LIHR. Common complications in patients undergoing LIHR included seroma, hematoma, urinary retention, unexplained chronic pain, etc. Body mass index (BMI), intraoperative blood loss, medical history time, hernia sac management, intraoperative adhesions, abnormal coagulation function, recurrent hernia, and hypertension were the influencing factors for complications after LIHR (χ2 = 6.809, 13.393, 5.371, 5.775, 4.128, 5.331, 4.920, and 6.675, P < .05). Multivariate analysis showed that BMI (odd ratio [OR] = 5.201, 95% confidence interval [CI] = 0.816–6.965, P < .05), intraoperative blood loss (OR = 2.512, 95% CI = 1.712–3.689, P < .05), intraoperative adhesions (OR = 6.352, 95% CI = 0.162–6.669, P < .05), abnormal coagulation function (OR = 6.352, 95% CI = 0.162–6.669, P < .05), recurrent hernia (OR = 2.208, 95% CI = 1.415–3.446, P < .05), and hypertension (OR = 3.365, 95% CI = 0.009–6.326, P < .05) were independent risk factors for complications after LIHR (P < .05). Common complications of LIHR included seroma, hematoma, urinary retention, etc. BMI, intraoperative blood loss, intraoperative adhesions, abnormal coagulation function, recurrent hernia, and hypertension were risk factors for complications after LIHR.

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Section: Discussionmentioning

confidence: 99%

Analysis of influencing factors of complications after laparoscopic inguinal hernia repair: An observational study

Chen,

Hu,

Huang

2023

Medicine

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“…Some authors who have addressed this issue [2,3] found approximately twice the risk of recurrence in medial and mixed hernias and, as our recent review, [4] shows, those "mesh vs non-mesh" studies that performed subgroup analysis have not demonstrated the advantages of prosthetic repair in pure lateral hernias.…”

Section: Dear Editormentioning

confidence: 99%

It’s time to re-acknowledge the differences

Tripoloni¹,

García²,

Cassani³

et al. 2021

Hernia

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A case of Amyand’s hernia

Kechoud,

De Nobili,

di Russo

et al. 2022

Il Giornale Di Chirurgia - Journal of the Italian Association of Hospital Surgeons

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Amyand’s hernia is a rare and unexpected condition, defined as a variant of inguinal hernia that contains vermiform appendix. Although the status of the appendix in the hernia indicates the type of surgical repair, the operative management is not completely standardized to date. We report a case of a type I Amyand’s hernia in an 84-year-old man who present painful but reducible right inguinal hernia. The diagnosis of Amyand’s hernia is made on-table. According to intraoperative founding, the patient receives tension-free herniorraphy with polypropylene mesh repair without appendectomy. No postoperative complications are reported. This case highlights current considerations in the management of this rare entity and provides evidences based on surgical literature and common clinical practice. The management of Amyand’s hernia reflects the potential variability of clinical presentation, and it is tailored on patient’s condition, type of appendiceal inflammation, and surgical experience.

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Mesh repair for lateral inguinal hernias: a non-evidence-based practice

Cited by 3 publications

References 24 publications

Analysis of influencing factors of complications after laparoscopic inguinal hernia repair: An observational study

Analysis of influencing factors of complications after laparoscopic inguinal hernia repair: An observational study

It’s time to re-acknowledge the differences

A case of Amyand’s hernia

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