Primary Inguinal Hernioplasty in the Adult

Palumbo, Louis T.; Sharpe, Wendell S.

doi:10.1016/s0039-6109(16)39583-4

Cited by 29 publications

(9 citation statements)

References 10 publications

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“…The incidence of groin hernias in adults increases with age [4]. It is estimated that the incidence of groin hernias is 0.7 per 1,000 per year between the age of 45-64 years rising to 1.5 per 1,000 per year over the age of 75 [5].…”

Section: Incidencementioning

confidence: 99%

“…Femoral hernias account for less than 10% of all groin hernias, while 30-50% of these hernias present as emergencies due to incarceration or strangulation [5,[8][9][10][11][12][13]. Inguinal hernias are 9-12 times more common in men than in women, whereas femoral hernias are 4 times more common in women [4,[7][8][9]. Strangulated inguinal hernias are more common in males and strangulated femoral hernias are more common in females [14].…”

Section: Incidencementioning

confidence: 99%

“…Recurrence rates after herniorrhaphy depend mostly on the surgical technique used for repair. 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].…”

Section: Morbidity and Mortality Of Elective Groin Hernia Repairmentioning

confidence: 99%

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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: Incidencementioning

confidence: 99%

Section: Incidencementioning

confidence: 99%

Section: Morbidity and Mortality Of Elective Groin Hernia Repairmentioning

confidence: 99%

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

Heuvel

Dwars

Klassen

et al. 2011

Hernia

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“…In series from clinics that specialize in herniorrhaphy, recurrence rates as low as 0.7% to 2.0% after primary inguinal hernia repair in adults have been achieved during the last 20 to 30 years. Such reports have come from Glassow, 15 Halverson and McVay, 10 Madden and colleagues, 16 Palumbo and Sharpe, 6 Rutledge, 17 and Zimmerman 18 These results represent the optimal condition. A second group includes general surgical departments in which hernia recurrence rates from 10% to 30% are common after 10 to 15 years: Shuttleworth and Davies, 19 Hansen and coworkers, 20 and Nielsen et al 21 This startling difference presumably reflects technical errors or missed hernias.…”

Section: Discussionmentioning

confidence: 96%

“…5 Other surgeons favor a complete Cooper's ligament repair on all adult groin hernias. Advocates of this approach include Palumbo and Sharpe, 6 Lichtenstein and Shore, 7 Shearburn and Myers, 8 and Glassow.…”

Section: Introductionmentioning

confidence: 99%

Inguinal Hernia in Saudi Arabia: 10 Years’ Experience

Al-Khuwaitir¹

1985

Ann Saudi Med

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A follow-up study on recurrence after inguinal hernia repair in Saudi Arabia was designed to test the effectiveness of Bassini's repair for primary inguinal hernia in adults. Of the 140 patients who later had Bassini's repair, 95 had indirect and 45 had direct hernias. Only those with pure direct or indirect hernias were included. All patients were followed for up to 2 years after repair. Total recurrence rate was 2.14% and projected recurrence rate at 25 years is 5.3%. These results are comparable to those of other techniques; Bassini's repair can therefore be used with confidence for primary hernia repair.SA Al-Khuwaitir, Inguinal Hernia In Saudi Arabia: 10 Years' Experience. 1985; 5(1): 3-6

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The Inguinal Darn

Juler

1986

Arch Surg

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Primary Inguinal Hernioplasty in the Adult

Cited by 29 publications

References 10 publications

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

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

Inguinal Hernia in Saudi Arabia: 10 Years’ Experience

The Inguinal Darn

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