Abstract
Hernias are defined as a protrusion of the peritoneum through acquired or congenital gaps (hernial orifice). The estimated incidence of hernias is 2–4% with a preponderance of the male gender. Hernia symptoms usually are unspecific and due to the content of the sac and the pressure by the sac on adjacent tissue. The discomfort is increased during the day and symptoms are relived at night when the patient reclines. The most serious complication of hernias is strangulation resulting in compromised vascularity of the protruded viscus. The following principles apply to all types of hernias: Only surgical management allows for persistent, therapeutic success, iarceration requires emergency surgery. The goal of groin hernioplasty is to augment the dorsal wall of the inguinal canal. This strengthening can be done using synthetic mesh implants or by placation of tissue. Two competing surgical procedures are available, open and a minimal invasive surgery
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Recommended Reading
Kehlet, H., Kingsnorth, A.: Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br. J. Surg. 90, 1479–1492 (2003)
Müller-Riemenschneider, F., Roll, S., Friedrich, M., Zieren, J., Reinhold, T., von der Schulenburg, J.M., Greiner, W., Willich, S.N.: Medical effectiveness and safety of conventional compared to laparoscopic incisional hernia repair: a systematic review. Surg. Endosc. 21(12), 2127–2136 (2007)
Pham, C.T., Perera, C.L., Watkin, D.S., Maddern, G.J.: Laparoscopic ventral hernia repair: a systematic review. Surg. Endosc. 23, 4–15 (2009)
Schumpelick, V., Klinge, U., Junge, K., Stumpf, M.: Incisional abdominal hernia: the open mesh repair. Langenbecks Arch. Surg. 389(1), 1–5 (2004)
Stickel, M., Rentsch, M., Clevert, D.A., Hernandez-Richter, T., Jauch, K.W., Löhe, F., Angele, M.K.: Laparoscopic mesh repair of incisional hernia: an alternative to the conventional open repair? Hernia 11(3), 217–222 (2007)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Lang, R.A., Angele, M.K. (2011). Abdominal Wall Hernias. In: Wichmann, M., Borgstrom, D., Caron, N., Maddern, G. (eds) Rural Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-78680-1_40
Download citation
DOI: https://doi.org/10.1007/978-3-540-78680-1_40
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-78679-5
Online ISBN: 978-3-540-78680-1
eBook Packages: MedicineMedicine (R0)