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Inguinal Hernia Repair: Selecting a Repair

  • Sepehr Lalezari
  • Gina L. Adrales
Chapter

Abstract

Numerous surgical approaches are at the disposal of the general surgeon in the treatment of the inguinal hernia. Surgeon preference and experience typically dictate the type of repair that is offered to patients, and in the current climate of fiscal constraint, economic factors play an increasing role in this decision-making. Patient-centered decision-making is facilitated by a broad knowledge of historical techniques utilized in hernia repair as well as working knowledge of current literature. An individualized approach should take into consideration patient factors and preferences along with the hernia characteristics, the level of contamination, and acuity.

Keywords

Inguinal hernia repair Indications Patient selection 

References

  1. 1.
    Aguilar B, Chapital AB, Madura JA 2nd, Harold KL. Conservative management of mesh-site infection in hernia repair. J Laparoendosc Adv Surg Tech A. 2010;20(3):249–52.CrossRefPubMedCentralGoogle Scholar
  2. 2.
    Amato B, Moja L, Panico S, Persico G, Rispoli C, Rocco N, et al. Shouldice technique versus other open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2012;4:CD001543.Google Scholar
  3. 3.
    Aquina CT, Probst CP, Kelly KN, Iannuzzi JC, Noyes K, Fleming FJ, et al. The pitfalls of inguinal herniorrhaphy: surgeon volume matters. Surgery. 2015;158(3):736–46.CrossRefPubMedCentralGoogle Scholar
  4. 4.
    Awad SS, Fagan SP. Current approaches to inguinal hernia repair. Am J Surg. 2004;188(6, Suppl 1):9–16.CrossRefGoogle Scholar
  5. 5.
    Bay-Nielsen M, Kehlet H. Inguinal herniorrhaphy in women. Hernia. 2006;10(1):30–3.CrossRefPubMedCentralGoogle Scholar
  6. 6.
    BayNielsen M, Kehlet H, Strand L, Malmstrøm J, Andersen FH, Wara P, et al. Quality assessment of 26 304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet. 2001;358(9288):1124–8.CrossRefGoogle Scholar
  7. 7.
    Beets GL, Oosterhuis KJ, Go PM, Baeten CG, Kootstra G. Long-term follow-up (12–15 years) of a randomized controlled trial comparing BassiniStetten, Shouldice, and high ligation with narrowing of the internal ring for primary inguinal hernia repair. J Am Coll Surg. 1997;185:352–7.PubMedPubMedCentralGoogle Scholar
  8. 8.
    Bisgaard T, BayNielsen M, Kehlet H. Rerecurrence after operation for recurrent inguinal hernia. A Nationwide 8year followup study on the role of type of repair. Ann Surg. 2008;247(4):707–11.CrossRefPubMedCentralGoogle Scholar
  9. 9.
    Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc. 2011;25(9):2773–843.CrossRefPubMedCentralGoogle Scholar
  10. 10.
    Bittner R, Schwarz J. Inguinal hernia repair: current surgical techniques. Langenbeck’s Arch Surg. 2012;397(2):271–82. https://doi.org/10.1007/s00423-011-0875-7. Epub 2011 Nov 25.CrossRefPubMedCentralGoogle Scholar
  11. 11.
    Carbonell AM, Cobb WS. Safety of prosthetic mesh hernia repair in contaminated fields. Surg Clin North Am. 2013;93(5):1227–39.CrossRefPubMedCentralGoogle Scholar
  12. 12.
    Cook H, Afzal N, Cornaby AJ. Laparoscopic hernia repairs may make subsequent radical retropubic prostatectomy more hazardous. BJU Int. 2003;91:729.CrossRefPubMedCentralGoogle Scholar
  13. 13.
    Cooperberg MR, Downs TM, Carroll PR. Radical retropubic prostatectomy frustrated by prior laparoscopic mesh herniorrhaphy. Surgery. 2004;135:452–4.CrossRefPubMedCentralGoogle Scholar
  14. 14.
    Daes J. Endoscopic repair of large inguinoscrotal hernias: management of the distal sac to avoid seroma formation. Hernia. 2014;18(1):119–22.CrossRefPubMedCentralGoogle Scholar
  15. 15.
    Deeba S, Purkayastha S, Paraskevas P, Athanasiou T, Darzi A, Zacharakis E. Laparoscopic approach to incarcerated and strangulated inguinal hernias. JSLS. 2009;13(3):327–31.PubMedPubMedCentralGoogle Scholar
  16. 16.
    Do HM, Turner K, Dietel A, Wedderburn A, Liatsikos E, Stolzenburg JU. Previous laparoscopic inguinal hernia repair does not adversely affect the functional or oncological outcomes of endoscopic extraperitoneal radical prostatectomy. Urology. 2011;77:963–7.CrossRefPubMedCentralGoogle Scholar
  17. 17.
    Ferzli G, Shapiro K, Chaudry G, Patel S. Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc. 2004;18(2):228–31.CrossRefPubMedCentralGoogle Scholar
  18. 18.
    Ferzli GS, Kiel T. The role of the endoscopic extraperitoneal approach in large inguinal scrotal hernias. Surg Endosc. 1997;11(3):299–302.CrossRefPubMedCentralGoogle Scholar
  19. 19.
    Gaedcke J, Schaler P, Brinker J, Quintel M, Ghadimi M. Emergency repair of Giant inguinoscrotal hernia in a septic patient. J Gastrointest Surg. 2013;17:837.CrossRefPubMedCentralGoogle Scholar
  20. 20.
    Gong K, Zhang N, Lu Y, Zhu B, Zhang Z, Du D, et al. Comparison of the open tensionfree meshplug, transabdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial. Surg Endosc. 2011;25(1):234–9.CrossRefPubMedCentralGoogle Scholar
  21. 21.
    Haapaniemi S, Gunnarsson U, Nordin P, Nilsson E. Reoperation after recurrent groin hernia repair. Ann Surg. 2001;234(1):122–6.CrossRefPubMedCentralGoogle Scholar
  22. 22.
    Haifler M, Benjamin B, Ghinea R, Avital S. The impact of previous laparoscopic inguinal hernia repair on radical prostatectomy. J Endourol. 2012;26(11):1458–62.CrossRefPubMedCentralGoogle Scholar
  23. 23.
    Higgins RM, Frelich MJ, Bosler ME, Gould JC. Cost analysis of robotic versus laparoscopic general surgery procedures. Surg Endosc. 2017;31(1):185–92.CrossRefPubMedCentralGoogle Scholar
  24. 24.
    Hodgkinson DJ, McIlrath DC. Scrotal reconstruction for giant inguinal hernias. Surg Clin North Am. 1984;64(2):307–13.CrossRefPubMedCentralGoogle Scholar
  25. 25.
    Ishihara T, Kubota K, Eda N, Ishibashi S, Haraguchi Y. Laparoscopic approach to incarcerated inguinal hernia. Surg Endosc. 1996;10:1111–3.CrossRefPubMedCentralGoogle Scholar
  26. 26.
    Jensen P, Mikkelsen T, Kehlet H. Postherniorrhaphy urinary retention--effect of local, regional, and general anesthesia: a review. Reg Anesth Pain Med. 2002;27(6):612–7.PubMedPubMedCentralGoogle Scholar
  27. 27.
    Karthikeyan VS, Sistla SC, Ram D, Ali SM, Rajkumar N. Giant inguinoscrotal hernia—report of a rare case with literature review. Int Surg. 2014;99(5):560–4.CrossRefPubMedCentralGoogle Scholar
  28. 28.
    Karthikesalingam A, Markar SR, Holt PJ, Praseedom RK. Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. Br J Surg. 2010;97(1):4–11.CrossRefPubMedCentralGoogle Scholar
  29. 29.
    Katz EE, Patel RV, Sokoloff MH, Vargish T, Brendler CB. Bilateral inguinal hernia repair can complicate subsequent radical retropubic prostatectomy. J Urol. 2002;167:637–8.CrossRefPubMedCentralGoogle Scholar
  30. 30.
    Köckerling F, Bittner R, Kuthe A, Stechemesser B, Lorenz R, Koch A, et al. Laparo-endoscopic versus open recurrent inguinal hernia repair: should we follow the guidelines? Surg Endosc. 2017;31(8):3168–85.CrossRefPubMedCentralGoogle Scholar
  31. 31.
    Köckerling F, Koch A, Lorenz R, Reinpold W, Hukauf M, Schug-Pass C. Open repair of primary versus recurrent male unilateral inguinal hernias: perioperative complications and 1-year follow-up. World J Surg. 2016;40:813–25.CrossRefPubMedCentralGoogle Scholar
  32. 32.
    Lajevardi S, Gundara J, Collins S, Samra JS. Acute gastric rupture in a Giant inguinoscrotal hernia. J Gastrointest Surg. 2015;19(12):2283.CrossRefPubMedCentralGoogle Scholar
  33. 33.
    Lal P, Philips P, Saxena KN, Kajla RK, Chander J, Ramteke VK. Laparoscopic total extraperitoneal (TEP) inguinal hernia repair under epidural anesthesia: a detailed evaluation. Surg Endosc. 2007;21(4):595–601.CrossRefPubMedCentralGoogle Scholar
  34. 34.
    Legnani GL, Rasini M, Pastori S, Sarli D. Laparoscopic transperitoneal hernioplasty (TAPP) for the acute management of strangulated inguino-crural hernias: a report of nine cases. Hernia. 2008;12(2):185–8.CrossRefPubMedCentralGoogle Scholar
  35. 35.
    Leibl BJ, Jager C, Kraft B, Kraft K, Schwarz J, Ulrich M, et al. Laparoscopic hernia repair--TAPP or/and TEP? Langenbeck’s Arch Surg. 2005;390(2):77–8.CrossRefGoogle Scholar
  36. 36.
    Leibl BJ, Schmedt CG, Kraft K, Kraft B, Bittner R. Laparoscopic transperitoneal hernia repair of incarcerated hernias: is it feasible? Results of a prospective study. Surg Endosc. 2001;15(10):1179–83.CrossRefPubMedCentralGoogle Scholar
  37. 37.
    Leibl BJ, Schmedt CG, Kraft K, Ulrich M, Bittner R. Scrotal hernias: a contraindication for an endoscopic procedure? Results of a singleinstitution experience in transabdominal preperitoneal repair. Surg Endosc. 2000;14(3):289–92.CrossRefPubMedCentralGoogle Scholar
  38. 38.
    Lichtenstein IL, Shulman SA. Ambulatory outpatient hernia surgery. Including a new concept, introducing tensionfree repair. Int Surg. 1986;71(1):1–4.PubMedPubMedCentralGoogle Scholar
  39. 39.
    Lo Menzo E, Spector SA, Iglesias A, Martinez JM, Huaco J, DeGennaro V, et al. Management of recurrent inguinal hernias after total extraperitoneal (TEP) Herniorrhaphies. J Laparoendosc Adv Surg Tech A. 2009;19(4):475–8.CrossRefPubMedCentralGoogle Scholar
  40. 40.
    Mahon D, Decadt B, Rhodes M. Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc. 2003;17(9):1386–90.CrossRefPubMedCentralGoogle Scholar
  41. 41.
    Mainik F, Flade-Kuthe R, Kuthe A. Total extraperitoneal endoscopic hernioplasty (TEP) in the treatment of incarcerated and irreponible inguinal and femoral hernias. Zentralbl Chir. 2005;130:550–3.CrossRefPubMedCentralGoogle Scholar
  42. 42.
    Malik A, Bell CM, Stukel TA, Urbach DR. Recurrence of inguinal hernias repaired in a large hernia surgical specialty hospital and general hospitals in Ontario, Canada. Can J Surg. 2016;59(1):19.CrossRefPubMedCentralGoogle Scholar
  43. 43.
    McCormack K, Wake BL, Fraser C, Vale L, Perez J, Grant A. Transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia. 2005a;9(2):109–14.CrossRefPubMedCentralGoogle Scholar
  44. 44.
    McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, et al. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess. 2005b;9(14):1. 203, iii–ivCrossRefPubMedCentralGoogle Scholar
  45. 45.
    Mikkelsen T, BayNielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorrhaphy. Br J Surg. 2002;89(4):486–8.CrossRefPubMedCentralGoogle Scholar
  46. 46.
    Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, et al. Update with level 1 studies of the European hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2014 Apr;18(2):151–63.CrossRefPubMedCentralGoogle Scholar
  47. 47.
    Neumayer L, GiobbieHurder A, Jonasson O, Fitzgibbons R, Dunlop D, Gibbs J, et al. Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med. 2004;350(18):1819–27.CrossRefPubMedCentralGoogle Scholar
  48. 48.
    Öberg S, Andresen K, Rosenberg J. Surgical approach for recurrent inguinal hernias: a Nationwide cohort study. Hernia. 2016;20(6):777–82.CrossRefPubMedCentralGoogle Scholar
  49. 49.
    Nielsen ME, Walsh PC. Systematic detection and repair of subclinical inguinal hernias at radical retropubic prostatectomy. Urology. 2005;66(5):1034–7.CrossRefPubMedCentralGoogle Scholar
  50. 50.
    Nilsson H, Stylianidis G, Haapamäki M, Nilsson E, Nordin P. Mortality after groin hernia surgery. Ann Surg. 2007;245:656–60.CrossRefPubMedCentralGoogle Scholar
  51. 51.
    Nordin P, Haapaniemi S, van der Linden W, et al. Choice of anesthesia and risk of reoperation for recurrence in groin hernia repair. Ann Surg. 2004;240(1):187–92.CrossRefPubMedCentralGoogle Scholar
  52. 52.
    Nordin P, Zetterström H, Gunnarsson U, Nilsson E. Local, regional, or general anaesthesia in groin hernia repair: multicentre randomised trial. Lancet. 2003;362:853–8.CrossRefPubMedCentralGoogle Scholar
  53. 53.
    Nordin P, Zetterström H, Carlsson P, Nilsson E. Cost-effectiveness analysis of local, regional and general anaesthesia for inguinal hernia repair using data from a randomized clinical trial. Br J Surg. 2007;94:500–5.CrossRefPubMedCentralGoogle Scholar
  54. 54.
    Rebuffat C, Galli A, Scalambra MS, Balsamo F. Laparoscopic repair of strangulated hernias. Surg Endosc. 2006;20:13113–4.CrossRefGoogle Scholar
  55. 55.
    Rosenberg J, Bisgaard T, Kehlet H, Wara P, Asmussen T, Juul P, et al. Danish hernia database recommendations for the management of inguinal and femoral hernia in adults. Dan Med Bull. 2011;58(2):C4243.PubMedPubMedCentralGoogle Scholar
  56. 56.
    Rutkow IM. Demographic and socioeconomic aspects of hernia repair in the United States in 2003. Surg Clin North Am. 2003;83(5):1045–51.CrossRefPubMedCentralGoogle Scholar
  57. 57.
    Saadi AS, Wadan AH, Hamerna S. Approach to a giant inguinoscrotal hernia. Hernia. 2005;9:277.CrossRefPubMedCentralGoogle Scholar
  58. 58.
    Saber A, Ellabban GM, Gad M, Elsayem K. Open preperitoneal versus anterior approach for recurrent inguinal hernia: a randomized study. BMC Surg. 2012;12:22.CrossRefPubMedCentralGoogle Scholar
  59. 59.
    Saber A, Hokkam EN, Ellabban GM. Laparoscopic transabdominal preperitoneal approach for recurrent inguinal hernia: a randomized trial. J Minim Access Surg. 2015;11(2):123–8.CrossRefPubMedCentralGoogle Scholar
  60. 60.
    Saggar VR, Sarangi R. Endoscopic totally extraperitoneal repair of incarcerated inguinal hernia. Hernia. 2005;9(2):120–4.CrossRefPubMedCentralGoogle Scholar
  61. 61.
    Sarli LM, Iusco DRM, Sansebastiano GM, Costi RM. Simultaneous repair of bilateral inguinal hernias: a prospective, randomized study of open, tensionfree versus laparoscopic approach. Surg Laparosc Endosc Percutan Tech. 2001;11(4):262–7.CrossRefPubMedCentralGoogle Scholar
  62. 62.
    Sevonius D, Montgomery A, Smedberg S, Sandblom G. Chronic groin pain, discomfort and physical disability after recurrent groin hernia repair: impact of anterior and posterior mesh repair. Hernia. 2016;20(1):43–53.CrossRefPubMedCentralGoogle Scholar
  63. 63.
    Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13(4):343–403. https://doi.org/10.1007/s00423-011-0875-7. Epub 2009 Jul 28.CrossRefPubMedCentralGoogle Scholar
  64. 64.
    Simons MP, Kleijnen J, van Geldere D, Hoitsma HFW, Obertop H. Role of the Shouldice technique in inguinal hernia repair: a systematic review of controlled trials and a metaanalysis. Br J Surg. 1996;83(6):734–8.CrossRefPubMedCentralGoogle Scholar
  65. 65.
    Siow SL, Mahendran HA, Hardin M, Chea CH, Nik Azim NA. Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias. Asian J Surg. 2013;36(2):64–8.CrossRefPubMedCentralGoogle Scholar
  66. 66.
    Song D, Greilich NB, White PF, Watcha MF, Tongier WK. Recovery profiles and costs of anesthesia for outpatient unilateral inguinal herniorrhaphy. Anesth Analg. 2000;91:876–81.CrossRefPubMedCentralGoogle Scholar
  67. 67.
    Spernat D, Sofield D, Moon D, Louie-Johnsun M, Woo H. Implications of laparoscopic inguinal hernia repair on open, laparoscopic, and robotic radical prostatectomy. Prostate Int. 2014;2(1):8–11.CrossRefPubMedCentralGoogle Scholar
  68. 68.
    Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am. 1984;64(2):269–85.CrossRefPubMedCentralGoogle Scholar
  69. 69.
    Tahir M, Ahmed FU, Seenu V. Giant inguinoscrotal hernia: case report and management principles. Int J Surg. 2016;6(6):495–7.CrossRefGoogle Scholar
  70. 70.
    Takata MC, Duh Q. Laparoscopic inguinal hernia repair. Surg Clin North Am. 2008;88(1):157–78.CrossRefPubMedCentralGoogle Scholar
  71. 71.
    Trevisonno M, Kaneva P, Watanabe Y, Fried GM, Feldman LS, Andalib A, et al. Current practices of laparoscopic inguinal hernia repair: a population-based analysis. Hernia. 2015;19(5):725–33.CrossRefPubMedCentralGoogle Scholar
  72. 72.
    Trunzo JA, Ponsky JL, Jin J, Williams CP, Rosen MJ. A novel approach for salvaging infected prosthetic mesh after ventral hernia repair. Hernia. 2009;13(5):545–9.CrossRefPubMedCentralGoogle Scholar
  73. 73.
    van den Heuvel B, Dwars BJ. Repeated laparoscopic treatment of recurrent inguinal hernias after previous posterior repair. Surg Endosc. 2013;27(3):795–800.CrossRefPubMedCentralGoogle Scholar
  74. 74.
    Waite KE, Herman MA, Doyle PJ. Comparison of robotic versus laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. J Robot Surg. 2016;10(3):239–44.CrossRefPubMedCentralGoogle Scholar
  75. 75.
    Wake BL, McCormack K, Fraser C, Vale L, Perez J, Grant A. Transabdominal preperitoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2005;25(1):CD004703.Google Scholar
  76. 76.
    Wright D, O’Dwyer PJ. The learning curve for laparoscopic hernia repair. Surg Innov. 1998;5(4):227–3.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Johns Hopkins University Bayview Medical CenterBaltimoreUSA
  2. 2.Department of SurgeryJohns Hopkins Hospital, Johns Hopkins University School of MedicineBaltimoreUSA

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