Open Mesh versus non-Mesh for groin hernia repair

Scott, Norman; Go, P. M. N. Y. H.; Graham, Paul M.; McCormack, Kirsty; Ross, Sue; Grant, Adrian

doi:10.1002/14651858.cd002197

Cited by 230 publications

(172 citation statements)

References 21 publications

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“…Recurrence rates after suture repair have been reported as high as 62% [4,25,26]. When Lichtenstein introduced the open tension-free mesh repair in the 1970s, recurrence rates were greatly reduced to 0-10% [25,[27][28][29][30]. In the early 1990s, laparoscopic techniques using a tension-free mesh were developed for groin hernia repair.…”

Section: Morbidity and Mortality Of Elective Groin Hernia Repairmentioning

confidence: 99%

Is surgical repair of an asymptomatic groin hernia appropriate? A review

Heuvel

Dwars

Klassen

et al. 2011

Hernia

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Purpose Groin herniorrhaphy is the most common operation performed by general surgeons. Annually, more than 20 million groin hernias are repaired worldwide. The general approach towards groin hernias is surgical repair regardless of the presence of symptoms. The rationale to recommend surgery for asymptomatic groin hernias is prevention of visceral strangulation. The goal of this review is to evaluate the appropriateness of surgery in patients with asymptomatic groin hernias. Methods The review was based on an extensive literature search of Pubmed, Medline and the Cochrane Library. Results The risk of incarceration is approximately 4 per 1,000 patients with a groin hernia per year. Risk factors for incarceration are age above 60 years, femoral hernia site and duration of signs less than 3 months. Morbidity and mortality rates of emergency groin hernia repair are higher in patients who are older than 49 years, have a delay between onset of symptoms and surgery of more than 12 h, have a femoral hernia, have nonviable bowel and have an ASA-class of 3 or 4. The recurrence rate after tension-free mesh repair in the management of emergency groin hernias is comparable to that of elective repair. There is no diVerence in pain and quality of life after elective repair compared to watchful waiting. There is no advantage in cost-eVectiveness of elective repair compared to watchful waiting. ConclusionWatchful waiting for asymptomatic groin hernias is a safe and cost-eVective modality in patients who are under 50 years old, have an ASA class of 1 or 2, an inguinal hernia, and a duration of signs of more than 3 months.

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Section: Morbidity and Mortality Of Elective Groin Hernia Repairmentioning

confidence: 99%

Is surgical repair of an asymptomatic groin hernia appropriate? A review

Heuvel

Dwars

Klassen

et al. 2011

Hernia

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“…7 Lichtenstein technique has since become the most commonly performed surgery for inguinal hernia and because it provides a tension-free repair with good long-term results. 8,9 Tension-free mesh repair is nevertheless associated with complications such as foreign body reaction, infection, pain, fistula formation, migration, shrinkage, and recurrence. 10 Other complications include skin anaesthesia, bruising and haematoma formation, seroma formation, orchitis and testicular atrophy.…”

Section: Introductionmentioning

confidence: 99%

“…12,13 Migration of the mesh from the primary site of implantation in the abdominal cavity is one of the most dangerous complications. [14][15][16] Intense chronic foreign body reactions around the mesh prosthesis may produce meshoma/plugoma treatment of which becomes a new surgical challenge.…”

Section: Introductionmentioning

confidence: 99%

Desarda’s versus Lichtenstein technique of inguinal hernia repair

Obaid¹

2017

Int Surg J

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INTRODUCTIONInguinal hernia is one of the most common diseases manage by surgeon.1 A hernia is abnormal protrusion of a viscus or a part of viscus through an opening in the wall of cavity containing it. It tends to occur at natural areas of weakness, where muscles are not strong and are vulnerable to intra-abdominal pressure. The estimated lifetime risk for inguinal hernia is 27% for men and 3% for women. 2The choice of a surgery depends on the surgeon as there were no written surgical guidelines for hernia treatment till 2009. [3][4][5] There is a considerable variation in the efficiency of all these procedures which is calculated by the rate of recurrence, complications which is also influenced not only by the different techniques but also by experience and the technical skills of the surgeons. 6 However, the ideal method for modern hernia surgery should be simple, cost effective, safe, tension free and permanent. The Lichtenstein operation to a great extent ABSTRACT Background: Ideal method for modern hernia surgery should be simple, cost effective, safe, tension free and permanent. The Lichtenstein operation to a great extent achieves this entire goal. The Lichtenstein mesh repair is associated with complications, postoperative dysfunction and high cost composite meshes. Desarda's technique, became a new surgical option for tissue-based inguinal hernia repair. The present study was designed to evaluate and compare the effectiveness and complications of the Desarda's repair with Lichtenstein tension-free mesh repair for treatment of inguinal hernia in a developing country. Methods: 200 patients with unilateral, primary, reducible inguinal hernia were selected. Included patients were randomly divided into two groups. Studied parameters were Duration of surgery, intra operative complications, postoperative Pain, Duration of hospital stay, return to normal activities, post-operative complications and recurrences. Results: There were a total of 100 patients each group. There was no statistically significant difference in duration of surgery and complication rate between the two groups. Difference in mean VAS was not statistically significant. The mean hospital stay in Desarda's technique was 2.5 days while it was 2.6 days in Lichtenstein's group. The mean time to return to basic physical activity in the Desarda's technique was 12.6 days while it was 13.3 days in the Lichtenstein's group. There were no recurrences in either group. Chronic inguinal pain (>1month) was more frequent in Lichtenstein's group. Conclusions: There is no significant difference in duration of surgery, intra operative complication rate, postoperative pain, complications and recurrence, between Desarda's technique and Lichtenstein's technique. However chronic inguinal pain is less in Desarda's technique. Desarda's repair must be considered in young patients (<30 years). Its long-term efficacy needs to be studied with larger, prospective double-blind randomized trials, with longer follow-up.

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“…The benefits of performing a mesh repair of a hernia are well documented. Mesh repairs are associated with lower rates of recurrence compared to non-mesh repairs [14]. A review of 13 trials compared open hernia repairs with and without mesh found a significantly lower risk of recurrent hernia with mesh repairs [14].…”

Section: Discussionmentioning

confidence: 99%

The appendix and the inguinal canal: Amyand’s hernia a case report

Islam¹,

Hosein²,

Bheem³

et al. 2015

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comThe appendix and the inguinal canal: Amyand's hernia a case report Shariful Islam, Devin Hosein, Vinoo Bheem, Vijay Naraynsingh ABSTRACT Introduction: Inguinal hernia repairs are one of the most common operations performed by the general surgeon. Occasionally, an emergency repair must be performed in the setting of painful incarceration, strangulation or obstruction. It is, therefore, essential that sound knowledge of the anatomy of the inguinal canal and variants of the inguinal hernia are required. One such variant is an Amyand's hernia, a rare inguinal hernia defined by the presence of the appendix in the inguinal canal. Case Report: We report a 52-year-old male who presented to our institution with a painful incarcerated right inguinal hernia who subsequently underwent emergency repair. A Type 1 Amyand's hernia was discovered on operation, an appendectomy and a Lichtenstein hernia repair were then performed. Due to the rarity of this hernia there are no standard guidelines for repair with respect to performing appendectomy or the use of mesh post appendectomy. Conclusion:The aim of this report is to assist the surgeon in making an informed decision on treatment of this rarity by review of current literature.

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Open Mesh versus non-Mesh for groin hernia repair

Cited by 230 publications

References 21 publications

Is surgical repair of an asymptomatic groin hernia appropriate? A review

Is surgical repair of an asymptomatic groin hernia appropriate? A review

Desarda’s versus Lichtenstein technique of inguinal hernia repair

The appendix and the inguinal canal: Amyand’s hernia a case report

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