Inguinal Hernia Repair Indications
Wechter md facs general surgery practice specializing in breast cancer virginia mason medical center seattle wa.
Inguinal hernia repair indications. Approximately 800 000 mesh hernioplasties are performed each year in the united states 2 100 000 in france and 80 000 in the united kingdom. Therefore most inguinal hernias are still repaired without any observation unless the general condition of the patient is very poor. Scott nw mccormack k graham p go pm ross sj grant am. Current approaches to inguinal hernia repair.
Contraindications specific to laparoscopic hernia surgery include non reducible inguinal hernia previous peritoneal surgery and inability to tolerate general anesthesia. Classically the existence of an inguinal. Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own however not all require immediate repair. The general indications for laparoscopic inguinal hernia repair as opposed to watchful waiting are the same as those for open inguinal hernia repair.
Classically the existence of an inguinal hernia has been considered sufficient reason for operative intervention. Inguinal hernia repair is indicated when the bulge through the inguinal canal is large or painful. Elective surgery is offered to most patients. When surgery is being discussed four factors should be taken into account.
Indications for laparoscopic hernia repair over open repair may include recurrent hernias bilateral hernias and the need for earlier return to full activities. Patient age and sex the type of hernia location age side recurrence and the patient characteristics that favor hernia onset or increase the surgical risk. They may be ideal for bilateral inguinal hernias and recurrences from anterior approaches but is also appropriate with unilateral primary hernias when the surgeon is comfortable with the technique. The general indications for laparoscopic inguinal hernia repair as opposed to watchful waiting are the same as those for open inguinal hernia repair.
Open mesh versus non mesh. Inguinal hernias occur in about 15 of the adult population and inguinal hernia repair is one of the most commonly performed surgical procedures in the world. Review date 9 3 2018 updated by. Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region.
Awad ss fagan sp.