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Anterior Open Repair of Inguinal Hernia in Adults

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Management of Abdominal Hernias

Abstract

Inguinal hernia repairs are one of the most commonly performed operations worldwide, and the majority of patients require surgery even if asymptomatic at presentation. Since the sixteenth century, there have been numerous techniques for open anterior repair described and several classification systems for groin hernias developed. Although the Shouldice repair is the superior suture repair technique and has low recurrence rates in specialist centres, mesh repairs remain the gold standard when performed in general surgical practice. This chapter describes the keys to successful outcomes in the anterior open mesh repair (Lichtenstein repair). It also details with the Shouldice repair and other suture techniques for historical interest.

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References

  1. Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003;362(9395):1561–71.

    Article  PubMed  Google Scholar 

  2. Primatesta P, Goldacre MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. Int J Epidemiol. 1996;25(4):835–9.

    Article  CAS  PubMed  Google Scholar 

  3. Bay-Nielsen 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.

    Article  CAS  PubMed  Google Scholar 

  4. Haapaniemi S, Gunnarsson U, Nordin P, Nilsson E. Reoperation after recurrent groin hernia repair. Ann Surg. 2001;234(1):122–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Merskey H, Bogduk N. Classification of chronic pain: descriptions of chronic pain syndromes and definitions of pain terms. 2nd ed. Seattle: IASP Press; 1994.

    Google Scholar 

  6. Alfieri S, Amid PK, Campanelli G, Izard G, Kehlet H, Wijsmuller AR, et al. International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia. 2011;15(3):239–49.

    Article  CAS  PubMed  Google Scholar 

  7. Nienhuijs SW, Rosman C, Strobbe LJ, Wolff A, Bleichrodt RP. An overview of the features influencing pain after inguinal hernia repair. Int J Surg. 2008;6(4):351–6.

    Article  CAS  PubMed  Google Scholar 

  8. Marcy HO. The cure of hernia. J Am Med Assoc. 1887;8:589–92.

    Article  Google Scholar 

  9. Bassini E. Nuova tecnica per la cura dell’ ernia inguinali. Society Italiana di Chirurgica. 1887;64:379–82.

    Google Scholar 

  10. Read RC. The development of inguinal herniorrhaphy. Surg Clin North Am. 1984;64(2):185–96.

    Article  CAS  PubMed  Google Scholar 

  11. Rutkow IM, Robbins AW. “Tension-free” inguinal herniorrhaphy: a preliminary report on the “mesh plug” technique. Surgery. 1993;114(1):3–8.

    CAS  PubMed  Google Scholar 

  12. McVay CB, Read RC, Ravitch MM. Inguinal hernia. Curr Probl Surg. 1967;4:1–50.

    Google Scholar 

  13. Read RC. In: Schumpelick V, Fitzgibbons RJ, editors. Pervasive co-morbidity and abdominal herniation: an outline. Berlin-Heidelberg: Springer; 2007.

    Chapter  Google Scholar 

  14. Franz MG. The biology of hernia formation. Surg Clin North Am. 2008;88(1):1–15, vii.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Junge K, Klinge U, Rosch R, Mertens PR, Kirch J, Klosterhalfen B, et al. Decreased collagen type I/III ratio in patients with recurring hernia after implantation of alloplastic prostheses. Langenbeck’s Arch Surg. 2004;389(1):17–22.

    Article  Google Scholar 

  16. Klinge U, Junge K, Mertens PR. Herniosis: a biological approach. Hernia. 2004;8(4):300–1.

    Article  CAS  PubMed  Google Scholar 

  17. Shulman AG, Amid PK, Lichtenstein IL. Patch or plug for groin hernia—which? Am J Surg. 1994;167(3):331–6.

    Article  CAS  PubMed  Google Scholar 

  18. Lichtenstein IL. Herniorrhaphy. A personal experience with 6,321 cases. Am J Surg. 1987;153(6):553–9.

    Article  CAS  PubMed  Google Scholar 

  19. Lichtenstein IL, Shulman AG, Amid PK, Montllor MM. The tension-free hernioplasty. Am J Surg. 1989;157(2):188–93.

    Article  CAS  PubMed  Google Scholar 

  20. Peacock EE. Here we are: behind again! Am J Surg. 1989;157(2):187.

    Article  CAS  PubMed  Google Scholar 

  21. Amid PK, Shulman AG, Lichtenstein IL. Critical scrutiny of the open “tension-free” hernioplasty. Am J Surg. 1993;165(3):369–71.

    Article  CAS  PubMed  Google Scholar 

  22. Shulman AG, Amid PK, Lichtenstein IL. The safety of mesh repair for primary inguinal hernias: results of 3,019 operations from five diverse surgical sources. Am Surg. 1992;58(4):255–7.

    CAS  PubMed  Google Scholar 

  23. Shulman AG, Amid PK, Lichtenstein IL. Returning to work after herniorrhaphy. BMJ. 1994;309(6949):216–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  24. Shulman AG, Amid PK, Lichtenstein IL. A survey of non-expert surgeons using the open tension-free mesh patch repair for primary inguinal hernias. Int Surg. 1995;80(1):35–6.

    CAS  PubMed  Google Scholar 

  25. Davies N, Thomas M, McIlroy B, Kingsnorth AN. Early results with the Lichtenstein tension-free hernia repair. Br J Surg. 1994;81(10):1478–9.

    Article  CAS  PubMed  Google Scholar 

  26. Kark AE, Kurzer M, Waters KJ. Tension-free mesh hernia repair: review of 1098 cases using local anaesthesia in a day unit. Ann R Coll Surg Engl. 1995;77(4):299–304.

    CAS  PubMed  PubMed Central  Google Scholar 

  27. Rutten P, Ledecq M, Hoebeke Y, Roeland A, Van den Oever R, Croes L. Primary inguinal hernia: Lichtenstein’s ambulatory hernioplasty: early clinical results and economic implications. Study of the initial 130 surgical cases. Acta Chir Belg. 1992;92(4):168–71.

    CAS  PubMed  Google Scholar 

  28. Kux M, Fuchsjäger N, Feichter A. Lichtenstein patch versus Shouldice technique in primary inguinal hernia with a high risk of recurrence. Chirurg. 1994;65(1):59–62; discussion 3.

    CAS  PubMed  Google Scholar 

  29. EU Hernia Trialists Collaboration. Mesh compared with non-mesh methods of open groin hernia repair: systematic review of randomized controlled trials. Br J Surg. 2000;87(7):854–9.

    Article  Google Scholar 

  30. Arvidsson D, Berndsen FH, Larsson LG, Leijonmarck CE, Rimbäck G, Rudberg C, et al. Randomized clinical trial comparing 5-year recurrence rate after laparoscopic versus Shouldice repair of primary inguinal hernia. Br J Surg. 2005;92(9):1085–91.

    Article  CAS  PubMed  Google Scholar 

  31. Neumayer L, Giobbie-Hurder 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.

    Article  CAS  PubMed  Google Scholar 

  32. World Guidelines for Groin Hernia Management https://www.europeanherniasociety.eu/fileadmin/downloads/Rotterdam/HerniaSurgeGuidelinesStatementsRecomendations.pdf – awaiting publication: The Hernia Surge Group.

  33. Miserez M, Alexandre JH, Campanelli G, Corcione F, Cuccurullo D, Pascual MH, et al. The European hernia society groin hernia classification: simple and easy to remember. Hernia. 2007;11(2):113–6.

    Article  CAS  PubMed  Google Scholar 

  34. Gilbert AI. An anatomic and functional classification for the diagnosis and treatment of inguinal hernia. Am J Surg. 1989;157(3):331–3.

    Article  CAS  PubMed  Google Scholar 

  35. Rutkow IM, Robbins AW. Classification systems and groin hernias. Surg Clin North Am. 1998;78(6):1117–27, viii.

    Article  CAS  PubMed  Google Scholar 

  36. Nyhus LM. Individualization of hernia repair: a new era. Surgery. 1993;114(1):1–2.

    CAS  PubMed  Google Scholar 

  37. Zollinger RM. Classification systems for groin hernias. Surg Clin North Am. 2003;83(5):1053–63.

    Article  PubMed  Google Scholar 

  38. Nilsson H, Stylianidis G, Haapamäki M, Nilsson E, Nordin P. Mortality after groin hernia surgery. Ann Surg. 2007;245(4):656–60.

    Article  PubMed  PubMed Central  Google Scholar 

  39. van den Heuvel B, Dwars BJ, Klassen DR, Bonjer HJ. Is surgical repair of an asymptomatic groin hernia appropriate? A review. Hernia. 2011;15(3):251–9.

    Article  PubMed  Google Scholar 

  40. INCA Trialists Collaboration. Operation compared with watchful waiting in elderly male inguinal hernia patients: a review and data analysis. J Am Coll Surg. 2011;212(2):251–9.e1–4.

    Article  Google Scholar 

  41. Gallegos NC, Dawson J, Jarvis M, Hobsley M. Risk of strangulation in groin hernias. Br J Surg. 1991;78(10):1171–3.

    Article  CAS  PubMed  Google Scholar 

  42. Rai S, Chandra SS, Smile SR. A study of the risk of strangulation and obstruction in groin hernias. Aust N Z J Surg. 1998;68(9):650–4.

    Article  CAS  PubMed  Google Scholar 

  43. Fitzgibbons RJ, Giobbie-Hurder A, Gibbs JO, Dunlop DD, Reda DJ, McCarthy M, et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA. 2006;295(3):285–92.

    Article  CAS  PubMed  Google Scholar 

  44. Fitzgibbons RJ, Ramanan B, Arya S, Turner SA, Li X, Gibbs JO, et al. Long-term results of a randomized controlled trial of a nonoperative strategy (watchful waiting) for men with minimally symptomatic inguinal hernias. Ann Surg. 2013;258(3):508–15.

    Article  PubMed  Google Scholar 

  45. O’Dwyer PJ, Chung L. Watchful waiting was as safe as surgical repair for minimally symptomatic inguinal hernias. Evid Based Med. 2006;11(3):73.

    Article  PubMed  Google Scholar 

  46. Chung L, Norrie J, O’Dwyer PJ. Long-term follow-up of patients with a painless inguinal hernia from a randomized clinical trial. Br J Surg. 2011;98(4):596–9.

    Article  CAS  PubMed  Google Scholar 

  47. Gai H. Ultrasound of inguinal hernias: morphological classification for a potentially conservative treatment in asymptomatic patients. Ultraschall Med. 2010;31(3):258–63.

    Article  CAS  PubMed  Google Scholar 

  48. Zendejas B, Ramirez T, Jones T, Kuchena A, Ali SM, Hernandez-Irizarry R, et al. Incidence of inguinal hernia repairs in Olmsted County, MN: a population-based study. Ann Surg. 2013;257(3):520–6.

    Article  PubMed  Google Scholar 

  49. Burcharth J, Pedersen M, Bisgaard T, Pedersen C, Rosenberg J. Nationwide prevalence of groin hernia repair. PLoS One. 2013;8(1):e54367.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Nilsson E, Kald A, Anderberg B, Bragmark M, Fordell R, Haapaniemi S, et al. Hernia surgery in a defined population: a prospective three year audit. Eur J Surg. 1997;163(11):823–9.

    CAS  PubMed  Google Scholar 

  51. Koch A, Edwards A, Haapaniemi S, Nordin P, Kald A. Prospective evaluation of 6895 groin hernia repairs in women. Br J Surg. 2005;92(12):1553–8.

    Article  CAS  PubMed  Google Scholar 

  52. Dahlstrand U, Wollert S, Nordin P, Sandblom G, Gunnarsson U. Emergency femoral hernia repair: a study based on a national register. Ann Surg. 2009;249(4):672–6.

    Article  PubMed  Google Scholar 

  53. McIntosh A, Hutchinson A, Roberts A, Withers H. Evidence-based management of groin hernia in primary care—a systematic review. Fam Pract. 2000;17(5):442–7.

    Article  CAS  PubMed  Google Scholar 

  54. Dahlstrand U, Sandblom G, Nordin P, Wollert S, Gunnarsson U. Chronic pain after femoral hernia repair: a cross-sectional study. Ann Surg. 2011;254(6):1017–21.

    Article  PubMed  Google Scholar 

  55. Chan G, Chan CK. Longterm results of a prospective study of 225 femoral hernia repairs: indications for tissue and mesh repair. J Am Coll Surg. 2008;207(3):360–7.

    Article  PubMed  Google Scholar 

  56. Hernández-Irizarry R, Zendejas B, Ramirez T, Moreno M, Ali SM, Lohse CM, et al. Trends in emergent inguinal hernia surgery in Olmsted County, MN: a population-based study. Hernia. 2012;16(4):397–403.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Junge K, Rosch R, Klinge U, Schwab R, Peiper C, Binnebösel M, et al. Risk factors related to recurrence in inguinal hernia repair: a retrospective analysis. Hernia. 2006;10(4):309–15.

    Article  CAS  PubMed  Google Scholar 

  58. 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.

    Article  CAS  PubMed  Google Scholar 

  59. 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.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Nordin P, Zetterstrom H, Gunnarsson U, Nilsson E. Local, regional, or general anaesthesia in groin hernia repair: multicentre randomised trial. Lancet. 2003;362(9387):853–8.

    Article  PubMed  Google Scholar 

  61. Joshi GP, Rawal N, Kehlet H, Bonnet F, Camu F, Fischer HB, et al. Evidence-based management of postoperative pain in adults undergoing open inguinal hernia surgery. Br J Surg. 2012;99(2):168–85.

    Article  CAS  PubMed  Google Scholar 

  62. 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(4):500–5.

    Article  CAS  PubMed  Google Scholar 

  63. Bay-Nielsen M, Kehlet H. Anaesthesia and post-operative morbidity after elective groin hernia repair: a nation-wide study. Acta Anaesthesiol Scand. 2008;52(2):169–74.

    Article  CAS  PubMed  Google Scholar 

  64. Kehlet H, Bay-Nielsen M. Local anaesthesia as a risk factor for recurrence after groin hernia repair. Hernia. 2008;12(5):507–9.

    Article  CAS  PubMed  Google Scholar 

  65. Nordin P, Haapaniemi S, van der Linden W, Nilsson E. Choice of anesthesia and risk of reoperation for recurrence in groin hernia repair. Ann Surg. 2004;240(1):187–92.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Schmedt CG, Sauerland S, Bittner R. Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc. 2005;19(2):188–99.

    Article  CAS  PubMed  Google Scholar 

  67. Bittner R, Sauerland S, Schmedt CG. Comparison of endoscopic techniques vs Shouldice and other open nonmesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc. 2005;19(5):605–15.

    Article  CAS  PubMed  Google Scholar 

  68. Bay-Nielsen M, Kehlet H. Inguinal herniorrhaphy in women. Hernia. 2006;10(1):30–3.

    Article  PubMed  Google Scholar 

  69. Henriksen NA, Thorup J, Jorgensen LN. Unsuspected femoral hernia in patients with a preoperative diagnosis of recurrent inguinal hernia. Hernia. 2012;16(4):381–5.

    Article  CAS  PubMed  Google Scholar 

  70. Burcharth J, Andresen K, Pommergaard HC, Bisgaard T, Rosenberg J. Direct inguinal hernias and anterior surgical approach are risk factors for female inguinal hernia recurrences. Langenbeck’s Arch Surg. 2014;399(1):71–6.

    Article  Google Scholar 

  71. Andresen K, Bisgaard T, Kehlet H, Wara P, Rosenberg J. Reoperation rates for laparoscopic vs open repair of femoral hernias in Denmark: a nationwide analysis. JAMA Surg. 2014;149(8):853–7.

    Article  PubMed  Google Scholar 

  72. Sevonius D, Gunnarsson U, Nordin P, Nilsson E, Sandblom G. Recurrent groin hernia surgery. Br J Surg. 2011;98(10):1489–94.

    Article  CAS  PubMed  Google Scholar 

  73. Kark AE, Kurzer M. Groin hernias in women. Hernia. 2008;12(3):267–70.

    Article  CAS  PubMed  Google Scholar 

  74. Lau H, Patil NG, Yuen WK. Is endoscopic totally extraperitoneal hernioplasty justified for the repair of groin hernia in female patients? Surg Endosc. 2005;19(12):1544–8.

    Article  CAS  PubMed  Google Scholar 

  75. Feliu X, Claveria R, Besora P, Camps J, Fernandez-Sallent E, Vinas X, et al. Bilateral inguinal hernia repair: laparoscopic or open approach? Hernia. 2011;15(1):15–8.

    Article  CAS  PubMed  Google Scholar 

  76. Mikkelsen T, Bay-Nielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorrhaphy. Br J Surg. 2002;89(4):486–8.

    Article  CAS  PubMed  Google Scholar 

  77. Burcharth J, Pommergaard HC, Bisgaard T, Rosenberg J. Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies. Surg Innov. 2015;22(3):303–17.

    Article  PubMed  Google Scholar 

  78. General Medical Council. Good medical practice: guidance for doctors. [Updated ed.]. ed. London: General Medical Council; 2009.

    Google Scholar 

  79. Hoosein MM, Towse H, Conn G, Stoker DL. Consenting practice for open inguinal hernia repairs – are we failing to warn patients of serious complications? Ann R Coll Surg Engl. 2008;90(8):643–6.

    Article  PubMed  PubMed Central  Google Scholar 

  80. England. WPcbTRCoSo. Clinical guidelines on the Management of Groin Hernia in adults. London: RCSE; 1993.

    Google Scholar 

  81. Shiwani MH, Gosling J. Variations in the quality of consent for open mesh repair of inguinal hernia. Hernia. 2009;13(1):73–6.

    Article  CAS  PubMed  Google Scholar 

  82. 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):19–25.

    Article  PubMed  PubMed Central  Google Scholar 

  83. 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. 2009;4:CD001543.

    Google Scholar 

  84. Bisgaard T, Bay-Nielsen M, Kehlet H. Re-recurrence after operation for recurrent inguinal hernia. A nationwide 8-year follow-up study on the role of type of repair. Ann Surg. 2008;247(4):707–11.

    Article  PubMed  Google Scholar 

  85. Bay-Nielsen M, Kehlet H, Strand L, Malmstrom J, Andersen FH, Wara P, et al. The Danish Hernia Database—four years’ results. Ugeskr Laeger. 2004;166(20):1894–8.

    PubMed  Google Scholar 

  86. Sanchez-Manuel FJ, Lozano-García J, Seco-Gil JL. Antibiotic prophylaxis for hernia repair. Cochrane Database Syst Rev. 2012;2:CD003769.

    Google Scholar 

  87. Aufenacker TJ. The danger of performing meta-analysis and the impact of guidelines: invited comment to: use of antibiotic prophylaxis in elective inguinal hernia repair in adults in London and south-east England: a cross-sectional survey. Aiken, A.M., et al., Hernia, 20. Hernia. 2013;17(5):665–8.

    Article  PubMed  Google Scholar 

  88. 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(5):788–801.e1–4.

    Article  PubMed  Google Scholar 

  89. Chen DC, Amid PK. Questioning the favorable influence of nerve identification during open inguinal herniorrhaphy is misleading and may increases the risk of surgeons’ liability: invited commentary: “Does nerve identification during open inguinal herniorrhaphy reduce the risk of persistent pain?”. Hernia. 2012;16(5):579–81.

    Article  CAS  PubMed  Google Scholar 

  90. Izard G, Gailleton R, Randrianasolo S, Houry R. Treatment of inguinal hernias by Mc Vay’s technique. Apropos of 1332 cases. Ann Chir. 1996;50(9):755–66.

    CAS  PubMed  Google Scholar 

  91. Lange JF, Wijsmuller AR, van Geldere D, Simons MP, Swart R, Oomen J, et al. Feasibility study of three-nerve-recognizing Lichtenstein procedure for inguinal hernia. Br J Surg. 2009;96(10):1210–4.

    Article  CAS  PubMed  Google Scholar 

  92. Wijsmuller AR, Lange JF, Kleinrensink GJ, van Geldere D, Simons MP, Huygen FJ, et al. Nerve-identifying inguinal hernia repair: a surgical anatomical study. World J Surg. 2007;31(2):414–20; discussion 21-2.

    Article  CAS  PubMed  Google Scholar 

  93. Hoguet JP. Direct inguinal hernia. Ann Surg. 1920;72(6):671–4.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  94. Qvist G. Saddlebag hernia. Br J Surg. 1977;64(6):442–4.

    Article  CAS  PubMed  Google Scholar 

  95. Novik B, Nordin P, Skullman S, Dalenbäck J, Enochsson L. More recurrences after hernia mesh fixation with short-term absorbable sutures: a registry study of 82 015 Lichtenstein repairs. Arch Surg. 2011;146(1):12–7.

    Article  PubMed  Google Scholar 

  96. Schwab R, Schumacher O, Junge K, Binnebosel M, Klinge U, Schumpelick V. Fibrin sealant for mesh fixation in Lichtenstein repair: biomechanical analysis of different techniques. Hernia. 2007;11(2):139–45.

    Article  CAS  PubMed  Google Scholar 

  97. Negro P, Basile F, Brescia A, Buonanno GM, Campanelli G, Canonico S, et al. Open tension-free Lichtenstein repair of inguinal hernia: use of fibrin glue versus sutures for mesh fixation. Hernia. 2011;15(1):7–14.

    Article  CAS  PubMed  Google Scholar 

  98. Chastan P. Tension free open inguinal hernia repair using an innovative self gripping semi-resorbable mesh. J Minim Access Surg. 2006;2(3):139–43.

    Article  PubMed  PubMed Central  Google Scholar 

  99. Bendavid R. Biography: Edward Earle Shouldice (1890–1965). Hernia. 2003;7(4):172–7.

    Article  PubMed  Google Scholar 

  100. Inguinal ZL, Hernia II. The surgical treatment of direct inguinal hernia. Sure Gynecol Obstet. 1938;66:192–3.

    Google Scholar 

  101. Bay-Nielsen M, Thomsen H, Andersen FH, Bendix JH, Sørensen OK, Skovgaard N, et al. Convalescence after inguinal herniorrhaphy. Br J Surg. 2004;91(3):362–7.

    Article  CAS  PubMed  Google Scholar 

  102. Schrenk P, Woisetschlager R, Rieger R, Wayand W. Prospective randomized trial comparing postoperative pain and return to physical activity after transabdominal preperitoneal, total preperitoneal or Shouldice technique for inguinal hernia repair. Br J Surg. 1996;83(11):1563–6.

    Article  CAS  PubMed  Google Scholar 

  103. Kald A, Anderberg B, Smedh K, Karlsson M. Transperitoneal or totally extraperitoneal approach in laparoscopic hernia repair: results of 491 consecutive herniorrhaphies. Surg Laparosc Endosc. 1997;7(2):86–9.

    Article  CAS  PubMed  Google Scholar 

  104. Liem MS, van der Graaf Y, van Steensel CJ, Boelhouwer RU, Clevers GJ, Meijer WS, et al. Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. N Engl J Med. 1997;336(22):1541–7.

    Article  CAS  PubMed  Google Scholar 

  105. Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM. Laparoscopic versus open inguinal hernia repair: randomised prospective trial. Lancet. 1994;343(8908):1243–5.

    Article  CAS  PubMed  Google Scholar 

  106. Fujita F, Lahmann B, Otsuka K, Lyass S, Hiatt JR, Phillips EH. Quantification of pain and satisfaction following laparoscopic and open hernia repair. Arch Surg. 2004;139(6):596–600; discussion -2.

    Article  PubMed  Google Scholar 

  107. Kapiris SA, Brough WA, Royston CM, O’Boyle C, Sedman PC. Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3017patients. Surg Endosc. 2001;15(9):972–5.

    Article  CAS  PubMed  Google Scholar 

  108. Wilson MS, Deans GT, Brough WA. Prospective trial comparing Lichtenstein with laparoscopic tension-free mesh repair of inguinal hernia. Br J Surg. 1995;82(2):274–7.

    Article  CAS  PubMed  Google Scholar 

  109. Lal P, Kajla RK, Chander J, Saha R, Ramteke VK. Randomized controlled study of laparoscopic total extraperitoneal versus open Lichtenstein inguinal hernia repair. Surg Endosc. 2003;17(6):850–6.

    Article  PubMed  Google Scholar 

  110. Bringman S, Ramel S, Heikkinen TJ, Englund T, Westman B, Anderberg B. Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial. Ann Surg. 2003;237(1):142–7.

    Article  PubMed  PubMed Central  Google Scholar 

  111. Langeveld HR, van’t Riet M, Weidema WF, Stassen LP, Steyerberg EW, Lange J, et al. Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial. Ann Surg. 2010;251(5):819–24.

    Article  PubMed  Google Scholar 

  112. Eklund A, Rudberg C, Smedberg S, Enander LK, Leijonmarck CE, Osterberg J, et al. Short-term results of a randomized clinical trial comparing Lichtenstein open repair with totally extraperitoneal laparoscopic inguinal hernia repair. Br J Surg. 2006;93(9):1060–8.

    Article  CAS  PubMed  Google Scholar 

  113. Johansson B, Hallerbäck B, Glise H, Anesten B, Smedberg S, Román J. Laparoscopic mesh versus open preperitoneal mesh versus conventional technique for inguinal hernia repair: a randomized multicenter trial (SCUR Hernia Repair Study). Ann Surg. 1999;230(2):225–31.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  114. Eklund A, Rudberg C, Leijonmarck CE, Rasmussen I, Spangen L, Wickbom G, et al. Recurrent inguinal hernia: randomized multicenter trial comparing laparoscopic and Lichtenstein repair. Surg Endosc. 2007;21(4):634–40.

    Article  CAS  PubMed  Google Scholar 

  115. Berndsen F, Arvidsson D, Enander LK, Leijonmarck CE, Wingren U, Rudberg C, et al. Postoperative convalescence after inguinal hernia surgery: prospective randomized multicenter study of laparoscopic versus shouldice inguinal hernia repair in 1042 patients. Hernia. 2002;6(2):56–61.

    Article  CAS  PubMed  Google Scholar 

  116. Fleming WR, Elliott TB, Jones RM, Hardy KJ. Randomized clinical trial comparing totally extraperitoneal inguinal hernia repair with the Shouldice technique. Br J Surg. 2001;88(9):1183–8.

    Article  CAS  PubMed  Google Scholar 

  117. Dirksen CD, Beets GL, Go PM, Geisler FE, Baeten CG, Kootstra G. Bassini repair compared with laparoscopic repair for primary inguinal hernia: a randomised controlled trial. Eur J Surg. 1998;164(6):439–47.

    Article  CAS  PubMed  Google Scholar 

  118. Lawrence K, McWhinnie D, Goodwin A, Doll H, Gordon A, Gray A, et al. Randomised controlled trial of laparoscopic versus open repair of inguinal hernia: early results. BMJ. 1995;311(7011):981–5.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  119. Cheatle GL. An operation for radical cure of inguinal and femoral hernia. Br Med J. 1920;2:68–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  120. Henry AK. Operation for femoral hernia by a midline extraperitoneal approach: with a preliminary note on the use of this route for reducible inguinal hernia. Lancet. 1936;1:531–3.

    Article  Google Scholar 

  121. Musgrove JE, McReady FJ. The Henry approach to femoral hernia. Surgery. 1949;26:608–11.

    CAS  PubMed  Google Scholar 

  122. Mikkelsen WP, Berne CJ. Femoral hernioplasty: suprapubic extraperitoneal (Cheatle–Henry) approach. Surgery. 1954;35:743–8.

    CAS  PubMed  Google Scholar 

  123. Stoppa R, Warlaumont CR, Verhaeghe PJ, Odimba BKFE, Henry X. Comment, pourquoi, quand utiliser les prostheses de tulle de Dacron pour traiter les hernies et les eventrations. Chirurgie. 1982;108:570–5.

    Google Scholar 

  124. Condon RE, Nyhus LM. Complications of groin hernia and of hernia repair. Surg Clin North Am. 1971;51:1325–36.

    Article  CAS  PubMed  Google Scholar 

  125. Nyhus LM, Condon RE, Harkins HN. Clinical experiences with pre-peritoneal hernial repair for all types of hernia of the groin. Am J Surg. 1960;100:234–44.

    Article  CAS  PubMed  Google Scholar 

  126. Read RC. Attenuation of the rectus sheath in inguinal herniation. Am J Surg. 1970;120:610–4.

    Article  CAS  PubMed  Google Scholar 

  127. Rignault DP. Properitoneal prosthetic inguinal hernioplasty through a Pfannenstiel approach. Surg Gynecol Obstet. 1986;163:465–8.

    CAS  PubMed  Google Scholar 

  128. Paillier JL, Baranger B, Darrieu H, Schill H, Neveux Y. Clinical analysis of expanded PTFE in the treatment of recurrent and complex groin hernias. Postgrad Med J. 1992;4:168–70.

    Google Scholar 

  129. Koontz AR. Hernia. New York: Appleton; 1963.

    Google Scholar 

  130. Usher FC. Further observations on the use of Marlex mesh. A new technique for the repair of inguinal hernias. Am Surg. 1959;25:792–5.

    CAS  PubMed  Google Scholar 

  131. Trabucco EE, Trabucco AF. Flat plugs and mesh hernioplasty in the inguinal box: description of the surgical technique. Hernia. 1998;2:133–8.

    Article  Google Scholar 

  132. Valenti G, Capnano G, Testa A, Barletta N. Dynamic self regulating prosthesis (protesi autoregolantesi dinamica—PAD): a new technique in the treatment of inguinal hernias. Hernia. 1999;3:5–9.

    Article  Google Scholar 

  133. Corcione F, Cristinzio G, Maresca M, Cascone U, Titolo G, Califano G. Primary inguinal hernia: the held-in mesh repair. Hernia. 1997;1:37–40.

    Article  Google Scholar 

  134. Bendavid R. New techniques in hernia repair. World J Surg. 1989;13:522–31.

    Article  CAS  PubMed  Google Scholar 

  135. Gilbert AI. Sutureless repair of inguinal hernia. Am J Surg. 1992;163:331–5.

    Article  CAS  PubMed  Google Scholar 

  136. Gilbert AI, Graham MF. Symposium on the management of inguinal hernias. 5. Sutureless technique: second version. Can J Surg. 1997;40:209–12.

    CAS  PubMed  PubMed Central  Google Scholar 

  137. Ger R, Monroe K, Duvivier R, Mishrick A. Management of indirect hernias by laparoscopic closure of the neck of the sac. Am J Surg. 1990;159:371–3.

    Article  Google Scholar 

  138. Corbitt JD. Laparoscopic herniorraphy. Surg Laparosc Endosc. 1991;1:23–5.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. North Devon District Hospital, Barnstaple, UK

    David L. Sanders & Kelly-Anne Ide

  2. UM Hernia Centre, München, Germany

    Joachim Conze

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  1. David L. Sanders
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  2. Kelly-Anne Ide
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  3. Joachim Conze
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Correspondence to David L. Sanders .

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  1. Surgeons Group of Baton Rouge of Our Lady of the Lake Physician Group, Baton Rouge, Louisiana, USA

    Karl A. LeBlanc

  2. Peninsula College of Medicine and Dentistry (Emeritus), Plymouth, United Kingdom

    Andrew Kingsnorth

  3. North Devon District Hospital, Barnstaple, United Kingdom

    David L. Sanders

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Sanders, D.L., Ide, KA., Conze, J. (2018). Anterior Open Repair of Inguinal Hernia in Adults. In: LeBlanc, K., Kingsnorth, A., Sanders, D. (eds) Management of Abdominal Hernias. Springer, Cham. https://doi.org/10.1007/978-3-319-63251-3_12

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