Open surgical repair of inguinal and femoral hernia in adults. INTRODUCTIONInguinal hernia repair is among the most common procedures performed by general surgeons. Many techniques have been used for hernia repair and these can be categorized as tension- free repairs, which typically use mesh, and primary tissue approximation repairs that do not use mesh. The most commonly used open approaches include the Lichtenstein repair, plug and patch repair, and the open, preperitoneal approach. ![]() When performed by surgeons with experience with the technique, each of these techniques is associated with low recurrence rates. Open techniques for the repair of inguinal and femoral hernia are reviewed here. The classification and diagnosis of inguinal and femoral hernias, management of inguinal and femoral hernia, and laparoscopic techniques for inguinal and femoral hernia repair are discussed elsewhere. The inguinal canal is formed by the aponeurosis of the external oblique muscle anteriorly, and the transversalis fascia and the transversus abdominus muscles posteriorly. ![]() High morbidity and recurrence rates as well as prolonged recovery have led to a gradual evolution in inguinal hernia repair. Inguinal hernia repair is among the most common procedures performed by general surgeons. Many techniques have been used for hernia repair and these can. Inguinal Inguinal Hernia Repair Options Laparoscopic Surgery. The external inguinal ring is formed by the external oblique muscle. The internal inguinal ring is located in the transversalis fascia and composed of the transversus abdominus and internal oblique muscles. The iliac vessels exit the abdomen posterior to the inguinal canal. The anatomy of the abdominal wall is discussed in detail elsewhere. Indirect inguinal hernias originate lateral to the inferior epigastric artery (figure 1. A- B), in contrast to direct hernias (figure 2), which protrude through Hesselbach's triangle medial to the inferior epigastric vessels. Hesselbach's triangle is bounded by the rectus abdominis muscle medially, the inguinal ligament inferiorly, and the inferior epigastric vessels laterally. Femoral hernias (figure 3) protrude through the femoral ring, which is bounded by the inguinal ligament anteriorly, pectineus fascia posteriorly, the lacunar ligament medially, and the sheath of the femoral vein laterally. Specialist hernia centres and public hospitals with a dedicated hernia service (Plymouth Hernia Service) have achieved remarkable results for inguinal hernia repair. Like Fred Amir, I developed an inguinal hernia and contacted a local surgeon for a consultation and to schedule a repair. I was given the sales. Hernia inguinalis, inglise k. Context Many men with inguinal hernia have minimal symptoms. Whether deferring surgical repair is a safe and acceptable option has not been assessed. The European Hernia Society (EHS) is proud to present the EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients. The Guidelines contain. ![]() History of the Inguinal Hernia Repair. Komorowski DOI: 10.5772/58533.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. Archives
September 2016
Categories |