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Open Inguinal Hernia Repair

  • Wen Hui Tan
  • Jeffrey A. Blatnik
Chapter

Abstract

An estimated 20 million inguinal hernia repairs are performed yearly worldwide, most of them through an open approach. Because a higher recurrence rate is often reported in tissue-based repairs, a majority of surgeons utilize the Lichtenstein tension-free mesh repair. Though serious postoperative complications are infrequent, chronic post-herniorrhaphy groin pain is more common. The operative steps of the Lichtenstein tension-free mesh repair are described in this chapter.

Keywords

Inguinal hernia Open inguinal hernia Lichtenstein Tension-free mesh repair 

References

  1. 1.
    Aquina CT, Probst CP, Kelly KN, et al. The pitfalls of inguinal herniorrhaphy: surgeon volume matters. Surgery. 2015;158:736–46.CrossRefGoogle Scholar
  2. 2.
    Sajid MS, Leaver C, Baig MK, Sains P. Systematic review and meta-analysis of the use of lightweight versus heavyweight mesh in open inguinal hernia repair. Br J Surg. 2012;99:29–37.CrossRefGoogle Scholar
  3. 3.
    Fitzgibbons RJ Jr, Richards AT, Quinn TH. Open hernia repair. In: Harken AH, Soper NJ, Cheung LY, Meakins JL, Holcroft JW, Wilmore DW, editors. ACS surgery: principles and practice. New York: WebMD Professional Publishing; 2003.Google Scholar
  4. 4.
    Mazaki T, Mado K, Masuda H, Shiono M. Antibiotic prophylaxis for the prevention of surgical site infection after tension-free hernia repair: a Bayesian and frequentist meta-analysis. J Am Coll Surg. 2013;217:788–801. e1–4CrossRefGoogle Scholar
  5. 5.
    Zamkowski MT, Makarewicz W, Ropel J, Bobowicz M, Kakol M, Smietanski M. Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge. Wideochir Inne Tech Maloinwazyjne. 2016;11:127–36.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Li JF, Lai DD, Zhang XD, et al. Meta-analysis of the effectiveness of prophylactic antibiotics in the prevention of postoperative complications after tension-free hernioplasty. Can J Surg. 2012;55:27–32.CrossRefGoogle Scholar
  7. 7.
    Nordin P, Zetterstrom H, Gunnarsson U, Nilsson E. Local, regional, or general anaesthesia in groin hernia repair: multicentre randomised trial. Lancet. 2003;362:853–8.CrossRefGoogle Scholar
  8. 8.
    Nesioonpour S, Akhondzadeh R, Pipelzadeh MR, Rezaee S, Nazaree E, Soleymani M. The effect of preemptive analgesia with bupivacaine on postoperative pain of inguinal hernia repair under spinal anesthesia: a randomized clinical trial. Hernia. 2013;17:465–70.CrossRefGoogle Scholar
  9. 9.
    Picchio M, Palimento D, Attanasio U, Matarazzo PF, Bambini C, Caliendo A. Randomized controlled trial of preservation or elective division of ilioinguinal nerve on open inguinal hernia repair with polypropylene mesh. Arch Surg. 2004;139:755–8. discussion 9CrossRefGoogle Scholar
  10. 10.
    Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia. 2004;8:1–7.CrossRefGoogle Scholar
  11. 11.
    Amid PK, Chen DC. Lichtenstein tension-free hernioplasty. In: Fischer JE, Jones DB, Pomposelli FB, Upchurch GR, et al., editors. Fischer’s mastery of surgery. 6th ed. Philadelphia, PA: LWW; 2011.Google Scholar
  12. 12.
    Malangoni MA, Rosen MJ. Hernias. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, editors. Sabiston textbook of surgery: the biological basis of modern surgical practice. 19th ed. Philadelphia, PA: Saunders; 2012.Google Scholar
  13. 13.
    Cox DD, Bhanot P. Open inguinal hernia repair with plug and patch technique. In: Evans SR, editor. Surgical pitfalls: prevention and management. 1st ed. Philadelphia, PA: Saunders; 2009. p. 501–9.CrossRefGoogle Scholar
  14. 14.
    Hallen M, Sevonius D, Westerdahl J, Gunnarsson U, Sandblom G. Risk factors for reoperation due to chronic groin postherniorrhaphy pain. Hernia. 2015;19:863–9.CrossRefGoogle Scholar
  15. 15.
    Gopal SV, Warrier A. Recurrence after groin hernia repair-revisited. Int J Surg. 2013;11:374–7.CrossRefGoogle Scholar
  16. 16.
    Nilsson H, Angeras U, Sandblom G, Nordin P. Serious adverse events within 30 days of groin hernia surgery. Hernia. 2016;20:377–85.CrossRefGoogle Scholar
  17. 17.
    Pierides GA, Paajanen HE, Vironen JH. Factors predicting chronic pain after open mesh based inguinal hernia repair: a prospective cohort study. Int J Surg. 2016;29:165–70.CrossRefGoogle Scholar
  18. 18.
    Zwaans WA, Perquin CW, Loos MJ, Roumen RM, Scheltinga MR. Mesh removal and selective neurectomy for persistent groin pain following Lichtenstein repair. World J Surg. 2017;41:701–12.CrossRefGoogle Scholar
  19. 19.
    Magnusson J, Nygren J, Gustafsson UO, Thorell A. UltraPro hernia system, Prolene hernia system and Lichtenstein for primary inguinal hernia repair: 3-year outcomes of a prospective randomized controlled trial. Hernia. 2016;20:641–8.CrossRefGoogle Scholar
  20. 20.
    Nienhuijs SW, Rosman C. Long-term outcome after randomizing prolene hernia system, mesh plug repair and Lichtenstein for inguinal hernia repair. Hernia. 2015;19:77–81.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Section of Minimally Invasive Surgery, Department of SurgeryWashington University School of Medicine in St. LouisSt. LouisUSA

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