Do all Inguinal Hernias Need Surgery?

Journal of Health and Medical Sciences

ISSN 2622-7258

Published: 04 December 2018

Do all Inguinal Hernias Need Surgery?

Ettore Gagliano, Antonio Querci, Domenica Paparo, Maribel Cristina Sanchez, Giusy Pintabona, Eugenio Cucinotta

Università degli Studi di Messina, Italy

pdf download

Download Full-Text Pdf

10.31014/aior.1994.01.01.8

Abstract

Background: For hernias that aren’t painful, choosing watchful waiting instead of immediate surgery isn’t tied to any long-term health problems. Many patients who took a wait-and-see approach with the groin bulges ended up eventually getting surgery when their hernias grew too big or started causing pain. Methodology: Watchful waiting were followed up at 6 months and annually and watched for hernia symptoms; repair patients received standard open tension-free Lichtenstein repair and were followed up at 3 and 6 months and annually. Results: Watchful waiting is an acceptable option for men with minimally symptomatic inguinal hernias. Delaying surgical repair until symptoms increase is safe because acute hernia incarcerations occur rarely.

References

  1. Rutkow I, Robbins AW Mesh plug repair and groin Hernia Surg. Clin.N.A. 1998;78(6 Dec)

  2. Bendavid R. New Techniques in Hernia Repair, World J Surg 1989;13(5):522-531

  3. Lichtenstein H. Herniorrhaphy. A personal experience with 6321 cases. Am J Surg 1987.153(6):553-559

  4. Amid PK, Shulman AG, Lichtenstein H. The Lichtenstein open “tension-free” mesh repair of inguinal hernias. Surg. Today 1995.25:619-625

  5. Lichtenstein IL, Shulman AG. Ambulatory outpatients hernia surgery   including a new concept introducing tension-free repair.Int Surg 1986,71:1-4

  6. Amid PK, Shulman AG, Lichtenstein IL. Open “tension-free” repair of inguinal hernias: the Lichtenstein technique. Eur J Surg; 1996 162:447-453

  7. Fitzgibbons RJ jr, Jonasson O, Gibbs JO, et al. The development of a clinical trial to determine if watchful waiting is an acceptable alternative to routine herniorrhaphy for patients with minimal or no hernia symptoms. J Am Coll Surg 2003.136:737-742

  8. Nyhus LM. Individualization of hernia repair: a new era. Surgery. 1993,114:1-2

  9. Cunningham J, Temple WJ, Mitchell P, Nixon JA, Preshaw RM,                 Hagen                NA: Cooperative hernia study. Pain in the postrepair patient. Ann Surg 1996; 224(5):598-602

  10. Koontz AR. Hernia New York Appleton-Century-Crofts 1963

  11. Neuhauser D. Elective inguinal herniorrhaphy versus truss in the elderly. In: Bunker JP, Barnes BA, Mosteller F, editors. Costs, risks, and benefits of surgery. New York: Oxford University Press, 1977:223-239

  12. Bendavid R. Complications of groin hernia surgery. Surg Clin N Amer 1998; 78(6)

  13. Fitzgibbons RJ jr, Giobbie-Hurder A, Gibbs JO, Dunlop DD et al. Watchful Waiting vs Repair of Inguinal Hernia in Minimally Symptomatic Men A Randomized clinical Trial. Jama 2006,vol 295 No 3

  14. Barkun J, Neville A, Fitzgerald GW, Litwin D; Evidence-Based Reviews in Surgery Group; Canadian Association of General Surgeons; American College of Surgeons. Canadian Association of General Surgeons and American College of Surgeons evidence-based reviews in surgery. 26. Watchful waiting versus repair of inguinal hernia in minimally symptomatic men. Can J Surg 2008,51:406-409

  15. Fitzgibbons RJ Jr, Giobbie-Hurder A, Gibbs JO, Dunlop DD, Reda DJ, McCarthy M Jr et al. Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA 2006,295:285-292

  16. O’Dwyer PJ, Chung L. Watchful waiting was as safe surgical repair for minimally symptomatic inguinal hernias. Evid Based Med 2006,11:73-4

  17. Fitzgibbons RJ Jr, Jonasson O, Gibbs JO, et al. The development of a clinical trial to determine if watchful waiting is an acceptable alternative to routine herniorrhaphy for patients with minimal or no hernia symptoms. J Am Coll Surg 2003; 196:737-42

  18. Amid PK, Shulman AG, Lichtenstein H. The Lichtenstein open “tension-free” mesh repair of inguinal hernias. Surg. Today 1995.25:619-625

  19. Malek S, Torella F, Edwards PR. Emergency repair of groin herniae: outcome and implications for elective surgery waiting times. Int J Clin Pract 2004,58:207-209

  20. Poobalan AS, Bruce J, Smith WC, et. Al. A review of chronic pain after inguinal hernioplasty. Clin J Pain 2003,19:48-54

  21. Aasvang E, Khlet H. Chronic postoperative pain: the case of inguinal hernioplasty. BJA 2005,69-76

  22. Heise CP, Starling JR.: Mesh inguinodynia: a new syndrome after inguinal herniorrhaphy? J Am Coll Surg 1998; 187(5):514-518

  23. Nyhus LM, Klein MS, Rogers FB. Inguinal hernia. Current Problems in Surgery 1991 (June):403-50

  24. Neumayer L, Giobbie-Hunder A, Jonasson O et al: Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 2004,250:1819-27

  25. Berliner SD. An approach to groin hernia. Surg Clinics N Amer 1984,64(2):197-213

  26. Starling JR, Harms BA. Diagnosis and treatment of genitofemoral and ilioinguinal neuralgia. World J Surg 1989,13:586-91

  27. Heis CP, Starling J. Mesh inguinodynia: a new clinical syndrome after inguinal herniorrhaphy. J Am Coll Surg 1998, 187:514-8

  28. Turaga K, Fitzgibbons RJ, Puri V. Inguinal hernias: Should we repair? Surg Clin North Am 2008,88:127-138

  29. Lichtenstein IL, Shulman AG. Ambulatory outpatient hernia surgery. Including a new concept, introducing tension-free repair. Int Surg 1986, 71:1-4

  30. Fitzgibbons R. Management of an inguinal hernia: conventional? Tension free? Laparoscopic? Or may be no treatment at all. General Session of the American College of Surgeons. 86th Annual Clinical Congress, Chicago 2000

  31. Shulman AG, Amid PK, Lichtenstein IL. The safety of mesh  repair for primary inguinal hernias: results of 3019 operations from five diverser surgical sources. Am Surg 1992,58:553-8

  32. Rutkow IM, Robbins A: The mesh plug repair. In: Abdominal Wall Hernias. R. Bendavid, ed. New York:Springer-Verlag 2001,382-7

  33. Wantz G. The operation of Bassini as described by Attilio Catterina. Surg. Gynecol & Obstet 1989;168:67-80

  34. Neuhauser D. Elective inguinal herniorrhaphy versus truss in the elderly. In:Bunker JP, Barnes BA, Mosteller F. editors. Cost, risks, and benefits of surgery. New York: Oxford University. Press. 1977:233-239

  35. Amid PK, Lichtenstein IL. Long-term result and current status of the Lichtenstein open tension-free hernioplasty. Hernia 1998,2:89-94

  36. Giaetta E, DeCian F, Cuneo S, et al. Hernia repair in elderly patients. Br J surg 1997,84:983-5

  37. Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution and principles. Hernia 2003,8:1-7

  38. McVay CB, Anson BJ. Aponeurotic and fascial contibuities in the abdomen, pelvis, and thight. Anat. Rec 1940,76:213-21

  39. Read RC. Use of the preperitoneal space in inguino-femoral herniorrhaphy: historical considerations. In: Bendavid R, editor. Abdominal wall hernias. New York: Springer-Verlag 2001, p. 11-5

About Us

The Asian Institute of Research is an online and open-access platform to publish recent research and articles of scholars worldwide. Founded in 2018 and based in Indonesia, the Institute serves as a platform for academics, educators, scholars, and students from Asia and around the world, to connect with one another. The Institute disseminates research that is proven or predicted to be of significant influence for the general public.

Contact Us

Please send all inquiries to the email:

editorial@asianinstituteofresearch.org

Business Address:

5th Floor, Kavling 507, Fajar Graha Pena Tower, Jl. Urip Sumohardjo No.20, Makassar, Indonesia 90234

Copyright © 2018 The Asian Institute of Research. All rights reserved

Stay Connected

  • Instagram - Black Circle
  • Facebook - Black Circle
  • LinkedIn - Black Circle