The characteristics of inguinal hernia recurrence in the modern era and the long-term outcomes after re-operation

Chan, Gabriel; Chan, Chin-Keung

doi:10.1007/s10029-010-0771-z

Cited by 7 publications

(4 citation statements)

References 34 publications

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“…Recurrence after Lichtenstein has been found in some studies to be direct in more than 50 % [12,13]. The medial aspect of the mesh needs to overlap the pubic tubercle at least 1-2 cm.…”

Section: Discussionmentioning

confidence: 98%

Location of recurrent groin hernias at TEP after Lichtenstein repair: a study based on the Swedish Hernia Register

Bringman

Holmberg

Österberg

2016

Hernia

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“…Recurrence after Lichtenstein has been found in some studies to be direct in more than 50 % [12,13]. The medial aspect of the mesh needs to overlap the pubic tubercle at least 1-2 cm.…”

Section: Discussionmentioning

confidence: 98%

Location of recurrent groin hernias at TEP after Lichtenstein repair: a study based on the Swedish Hernia Register

Bringman

Holmberg

Österberg

2016

Hernia

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“…The Hesselbach triangle is the most common site of recurrence after direct inguinal hernia repair. Recurrence in the form of indirect inguinal hernias is also observed following any of the procedures (mesh, laparoscopic, and Shouldice repair) for direct inguinal hernias [ 6 ]. Therefore, the mesh covers the medial side of the Hesselbach triangle and the lateral triangle, as in the usual direct inguinal hernia repair procedure.…”

Section: Discussionmentioning

confidence: 99%

Transabdominal Preperitoneal Repair for an External Supravesical Hernia With an Incarcerated Ovary: A Case Report

Fujimoto,

Deguchi,

Shirai

2024

Cureus

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External supravesical hernias with ovarian incarceration have not been reported previously. Here, we describe transabdominal preperitoneal (TAPP) repair of an external supravesical hernia with ovarian incarceration. A 68-year-old woman presented to our outpatient clinic with the chief complaint of right inguinal swelling and pain. A 3-cm-diameter mass in the right inguinal region that was difficult to reduce was palpable, and computed tomography (CT) revealed a suspicious lesion of the right hydrocele of the canal of Nuck. Hydrocelectomy was performed through an inguinal incision, and the external inguinal ring was repaired using the Marcy method. The histopathological examination confirmed the diagnosis of the canal of Nuck. Three months postoperatively, the patient again presented with right inguinal pain, and CT revealed a right femoral hernia requiring surgical repair. Intraoperative findings revealed a right external supravesical hernia with an incarcerated ovary, which was laparoscopically reduced and repaired with a mesh. At the three-month follow-up, there were no postoperative complications or recurrences. Incarcerated ovaries with inguinal hernias have been reported in girls; however, incarcerated ovaries with external supravesical hernias have not been reported in women. Although the preoperative diagnosis was difficult to make in this case, the laparoscopic approach led to the diagnosis and successful mesh repair. Although optimal mesh repair of external supravesical hernias using TAPP has not been established, we believe that 2-5 cm around the hernial orifice, the Hesselbach triangle, and the lateral triangle should be covered with mesh.

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“…In Lichtenstein's technique, the femoral ring is strengthened when judged large, while in the Rives technique this is done systematically. Between 7.9 and 40% [21][22][23]o ft h e recurrences in an inguinal hernia occur through the femoral ring. Whether they are really recurrences or rather undiscovered hernias is unknown.…”

Section: Discussionmentioning

confidence: 99%

Rives Technique for the Primary Larger Inguinal Hernia Repair: A Prospective Study of 1000 Repairs

Grau-Talens

Ibáñez²,

Motos-Micó³

et al. 2017

World j. surg.

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Objective We report a prospective study of repairs using the Rives technique of the more difficult primary inguinal hernias, focusing on the immediate post-operative period, clinical recurrence, testicular atrophy, and chronic pain. A mesh placed in the preperitoneal space can reduce recurrences and chronic pain. Methods For the larger primary inguinal hernias (Types 3, 4, 6, and some 7), we favour preperitoneal placement of a mesh, covering the myopectineal orifice by means of a transinguinal (Rives technique) approach. The Rives technique was performed on 943 patients (1000 repairs), preferably under local anaesthesia plus sedation in ambulatory surgery. Results The mean operative time was 31.8 min. Pain assessment after 24 h with an Andersen scale and a categorical scale gave two patients with intense pain on the Andersen scale, and four patients who thought their state was bad. Surgical wound complications were below 1%, and urinary retention was 1.2% mostly associated with spinal anaesthesia and, in one case, bladder perforation. There was spermatic cord and testicular oedema with some degree of orchitis in 17 patients. The clinical follow-up of 849 repairs (86.4%), mean (range) 30.0 (12-192) months, gave five recurrences (0.6%), three cases (0.4%) of testicular atrophy, and 37 (4.3%) of post-operative chronic pain (8 patients with visual analogue scale of 3-10). Conclusions The Rives technique requires a sound knowledge of inguinal preperitoneal space anatomy, but it is an excellent technique for the larger and difficult primary inguinal hernias, giving a low rate of recurrences and chronic pain.

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The characteristics of inguinal hernia recurrence in the modern era and the long-term outcomes after re-operation

Cited by 7 publications

References 34 publications

Location of recurrent groin hernias at TEP after Lichtenstein repair: a study based on the Swedish Hernia Register

Location of recurrent groin hernias at TEP after Lichtenstein repair: a study based on the Swedish Hernia Register

Transabdominal Preperitoneal Repair for an External Supravesical Hernia With an Incarcerated Ovary: A Case Report

Rives Technique for the Primary Larger Inguinal Hernia Repair: A Prospective Study of 1000 Repairs

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