Inguinal Hernia Repair Uptodate

Comparison of endoscopic procedures vs lichtenstein and other open mesh techniques for inguinal hernia repair. Than inguinal hernias in one study the rates of strangulation were 22 and 45 percent at 3 and 21 months respectively for femoral hernias compared with 2 8 and 4 5 percent for inguinal hernias thus. In girls or women inguinal hernias may contain part of the female reproductive system such as an ovary.

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Lateral to the inferior epigastric artery or through the weakened posterior wall of the inguinal canal direct inguinal hernia.

Inguinal hernia repair uptodate. When an inguinal hernia occurs part of the peritoneum the lining of the abdominal cavity bulges through the abdominal wall and forms a sac around the hernia. Many techniques have been used and these can be categorized as tension free repairs that typically use mesh and primary tissue approximation repairs that do not use mesh. Inguinal hernias most often contain fat or part of the small intestine. Medial to the inferior epigastric artery inguinal hernias are often asymptomatic presenting as a painless swelling in the groin.

Inaba t okinaga k fukushima r et al. Chronic pain and discomfort after inguinal hernia repair. Inguinal hernia repair is among the most common procedures performed by general surgeons. A meta analysis of randomized controlled trials.

Schmedt cg sauerland s bittner r. An inguinal hernia is an abnormal protrusion of intra abdominal contents either through the deep inguinal ring indirect inguinal hernia. The anatomic approach to the preperitoneal space depends upon the laparoscopic technique used for hernia repair. Laparoscopic repair approaches when performing laparoscopic inguinal or femoral hernia repair the hernia defect is approached from its posterior aspect and the repair involves placing mesh in the preperitoneal space.