Female Inguinal Hernia Repair Technique
In the bassini technique the conjoint tendon formed by the distal ends of the transversus abdominis and internal oblique muscles is approximated to the inguinal ligament and closed.
Female inguinal hernia repair technique. The operation usually takes about 45 minutes. We speculate robotic inguinal hernia repair may yield equivalent benefits while providing the surgeon added dexterity. Males on the other hand have a 27 lifetime risk of developing one. The shouldice technique was itself an evolution of prior techniques.
This page will give you information about an open inguinal hernia repair for women. Hypermobility may increase the risk of developing a hernia as well which is slightly more common in women and occurs in approximately 4 13 of the population. In a comparative study in elective inguinal hernia repair in tapp technique women experienced significantly more pain discomfort and fatigue. Other open non mesh techniques.
Fifty six unilateral hernias and 22 bilateral hernias were repaired amongst 62 males and 16 females. Initially she was found to have left inguinal hernia on her physical examination. If you have any questions you should ask your gp or other relevant health professional. However there are other conditions that indirectly increase the risk of hernias in female such as obesity heavy lifting chronic cough chronic.
The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s. The risk of complicated presentation and unfavorable outcome in patients with groin hernia is significant in female sex. This is a 50 years old female who presented with a left groin bulge with on and off pain and discomfort during activity and exercise. One hundred consecutive robotic inguinal hernia repairs with mesh were performed with a mean age of 56 years 25 96.
Positive family history is an independent risk factor for developing hernias in women. Open inguinal hernia repair female 3 minute read. The bassini technique for inguinal hernia repair involves suturing the transversalis fascia and the conjoined tendon to the inguinal ligament behind the spermatic cord with monofilament nonabsorbable suture. A hernia occurs when fatty tissue or an organ pushes through a weak place in the surrounding connective tissue or muscle wall.
In other words from every 50 women one could have groin hernia with the female to male ratio of 1 6. It also involves the so called tanner slide which is a vertical relaxing incision in the anterior rectus sheath intended to prevent tension. Various anaesthetic techniques are possible. This video demonstrates the robotic assisted left inguinal hernia repair with mesh.
In the swedish hernia registry of the 9 756 elective groin hernia repairs in women 60 6 were conducted with an open anterior mesh 23 0 with suture 11 2 with laparo endoscopic and 5 2 with an open posterior mesh technique.