Orientações da Sociedade Brasileira de Hérnia (SBH) para o manejo das hérnias inguinocrurais em adultos.

Abstract

RESUMO As hérnias inguinais são um problema frequente e o seu reparo representa a cirurgia mais comumente realizada por cirurgiões gerais. Nos últimos anos, novos princípios, produtos e técnicas têm mudado a rotina dos cirurgiões que precisam reciclar conhecimentos e aperfeiçoar novas habilidades. Além disso, antigos conceitos sobre indicação cirúrgica e riscos de complicações vêm sendo reavaliados. Visando criar um guia de orientações sobre o manejo das hérnias inguinais em pacientes adultos, a Sociedade Brasileira de Hérnias reuniu um grupo de experts com objetivo de revisar diversos tópicos, como indicação cirúrgica, manejo perioperatório, técnicas cirúrgicas, complicações e orientações pós-operatórias.

Lower urinary tract symptoms–Benign prostatic hyperplasia may increase the risk of subsequent inguinal hernia in a Taiwanese population: A nationwide population-Based cohort study

“…Some patients are not bothered by annoying symptoms, such as a protruding non-painful mass, so a clinician might choose conservative treatments [2][3][4]. However, more serious symptoms may appear in about 66% of affected people [1], and these might include discomfort or pain especially with lifting, exercise, coughing or bowel movements [5]. The most terrible event is that intestines are trapped and pinched in the groin or scrotum and cannot be moved back into the abdomen, leading to an incarcerated or even strangulated inguinal hernia.…”

Incisional hernia swine: Case report

“…The increase in abdominal volume caused by hernia must be differentiated from abscesses, soft tissue tumors, lymphadenomegaly, hydrocele and osteitis (Simons et al, 2009, Claus et al, 2019 and the diagnosis of incisional hernia can be obtained through association of information about previous surgical procedure together with clinical examination where the composition of a true hernia is identified (Faria, et al, 2016). However, the use of ultrasound examination is justified to confirm and define the surgical approach to be performed (Claus, et al, 2019).…”

“…In humans, when compared to the repair performed only with direct suture, which is indicated in cases of defects up to three centimeters, the use of meshes considerably reduces recurrence (Sanders & Kingsnorth, 2012). In humans, the use of meshes is associated with higher rates of infection, chronic pain, and adherence (Rastegarpour, et al, 2016), which presupposes that there is no standard technique for correcting incisional hernias, and patients should be evaluated individually (Claus, et al, 2019). The occurrence of incisional hernias in pigs is poorly described, probably due to the lack of routine in performing abdominal surgeries in this type of production.…”

Inguinodynia: review of predisposing factors and management

“…No study has investigated whether the two types of pain can be safely distinguished. Some authors, however, describe nociceptive pain as acute, tending to decrease over time, while neuropathic pain can persist for long periods 8,15 .…”

“…The International Association for the Study of Pain (IASP) defines Inguinodynia, also called chronic inguinal pain after herniorrhaphy, as pain lasting greater than three months after herniorrhaphy. The incidence of inguinodynia varies between 10% and 12% in the world and, although the pain intensity in most cases is mild, it can be severe and disabling, compromising quality of life [6][7][8][9] .…”