Coexisting Inguinal and Umbilical Hernias as a Clinical Indicator of Diffuse Abdominal Wall Deficiency: A Case Study |Chapter 13 | Medical Science: Updates and Prospects Vol. 4

 

The lifetime risk profile for inguinal hernia is characterised by a profound sexual dimorphism, with males facing an approximate 27% cumulative incidence, ninefold greater than the 3% risk observed in females. This condition exhibits a marked predilection for the elderly, where its incidence peaks at roughly 13 cases per 1,000 individuals. Notably, the global epidemiological burden of inguinal hernia has escalated significantly, demonstrating a 36% surge in occurrence over the preceding three decades. In the spectrum of anterior abdominal wall defects, umbilical hernias rank as the third most prevalent, manifesting in an estimated 5% to 12% of the adult population. Against this clinical backdrop, this case report investigates the procedural viability and outcomes of a single-stage surgical strategy for the concomitant management of inguinal and umbilical hernias. We present a 62-year-old male patient with a 12-month history of a symptomatic, reducible right indirect inguinal hernia (4x2x2 cm) and an incidental, reducible umbilical hernia (3x3x2 cm) with exertion-triggered pain. The patient had no significant comorbidities or history of incarceration. He successfully underwent a unified operative session under spinal anaesthesia, comprising a standard Lichtenstein hernioplasty for the inguinal defect and a modified Mayo repair augmented with polypropylene mesh for the umbilical hernia. The total procedural duration was recorded at 80 minutes. The postoperative convalescence was uncomplicated, facilitating discharge on the sixth day. Critically, at the 36-month long-term follow-up, the patient reported complete resolution of symptoms and exhibited an excellent clinical outcome. There was no radiological or clinical evidence of recurrence at either surgical site, nor were there any sequelae of chronic groin pain, mesh-related complications, or surgical site infection. This successful outcome substantiates the proposition that a single-stage, mesh-reinforced repair under spinal anaesthesia constitutes a clinically feasible and resource-optimised therapeutic pathway. The approach offers distinct advantages by consolidating the surgical intervention into a solitary anaesthetic episode and a unified recovery period, thereby enhancing patient convenience and potentially reducing systemic healthcare costs. Nevertheless, while these preliminary results are highly encouraging, they necessitate rigorous corroboration through prospective, randomised controlled trials with larger cohorts. Such studies are imperative to definitively establish this integrated approach as a superior and standard-of-care alternative to traditional staged repairs for suitable patient candidates.

 

 

Author(s) Details

Mekhaeel, Shehata Fakhry Mekhaeel
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University) Medical Institute, Department of Operative Surgery and Clinical Anatomy named after I.D. Kirpatovsky, Moscow, Russia.

 

Salem, Mohamed Ahmed Eissa Sameh
Peoples’ Friendship University of Russia named after Patrice Lumumba (RUDN University) Medical Institute, Department of Operative Surgery and Clinical Anatomy named after I.D. Kirpatovsky, Moscow, Russia.

 

Elshliby, Abdelrahman Gomaa Zaky Ali
Kirov State Medical University, Kirov, Russia.

 

Ali, Omar Mohamed Ismail Mahmoud
Kirov State Medical University, Kirov, Russia.

 

Ba Madhag, Abdulrahman Khaled Mubarak Al-Naggar
Kirov State Medical University, Kirov, Russia.

 

Please see the book here :- https://doi.org/10.9734/bpi/msup/v4/6951

 

An Update on the Status of Laparoscopic Inguinal Hernia Repairs: Narrative Review Article | Chapter 2 | Medical Science: Recent Advances and Applications Vol. 10

 

The utilisation of laparoscopic techniques for inguinal hernia repair has been increasingly adopted in clinical practice. The Transabdominal Preperitoneal (TAPP) and Total Extraperitoneal (TEP) approaches are the predominant procedures employed for the treatment of primary, recurrent, and bilateral inguinal hernias. These techniques, however, necessitate specialised equipment and training, and they present a significant learning curve. This article aims to examine the advantages and disadvantages of the TAPP and TEP repair methods. Furthermore, we will compare these laparoscopic techniques with traditional open inguinal repairs and explore the role of robotic-assisted inguinal hernia repair.

 

 

Author(s) Details

Kumar Hari Rajah
Department of Surgery, Taylor’s University School of Medicine and Health Science, 47500 Subang Jaya, Selangor, Malaysia.

 

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v10/6148

Treatment of Inguinal Hernia by Using the Narrow Mesh: A New Mesh Design | Chapter 9 | Advanced Concepts in Medicine and Medical Research Vol. 10

This division demonstrates the use of the narrow mesh for the situation of inguinal hernia.  Few 20 million movements are performed worldwide occurring. This study  relates to inguinal break repair, and more particularly to a preshaped inguinal break prosthetic material, polypropylene, 6×2.5 centimeters in size, that has a sideways semicircular non-circumscribing cord location structure in order to cover the spermatic cord what it is interposed between the combined tendon and the inguinal bond in such a way concerning repair the hernia and happening at about the same time to reconstitute the physiology of the inguinal waterway. The Narrow Mesh, interposed between the inguinal bond and the conjoint hamstring, reduces the tension on the stitch line by advancing middle from two points the inguinal ligament. Dispassionate studies were affirmed to evaluate the projected claims of efficacy and security and the prospective of a better consequence of the use of the Narrow Mesh for the repair of inguinal hernia.

Author(s) Details:

Enrico Nicolo,
Department of Surgery, Jefferson Regional Medical Center, Pittsburgh, Pennsylvania, USA.

Please see the link here: https://stm.bookpi.org/ACMMR-V10/article/view/12823

An Evidence-based Assessment of Local Anesthesia Versus Spinal Anesthesia during Inguinal Hernia Surgery | Chapter 3 | Novel Research Aspects in Medicine and Medical Science Vol. 1

 To determine the best, the most prudent anesthesia mix (local vs. sleep-inducing or numbing drug) for inguinal hernia processes, with the goal of lowering discomfort, hospital stay, and improvement time. This article outlines approximate analytical dossier obtained by inguinal surgeries performed under local and sleep-inducing or numbing drug anaesthesia to evolve a precise opinion concerning both methods. This prospective analytical study was administered on 140 patients of easy unilateral inguinal hernia that were operated subsequently dividing them in two groups on the footing of type of anaesthesia (Local induced absence of feeling or Spinal anaesthesia) received. Outcome of study was assembled and statistically analysed for cost benefit, patient satisfaction levels, following and postoperative complications. The mean age of the research players was 40.44 years traditional for group B and 44.36 years traditional for group A. There was no statistically significant difference in the middle surgery opportunity between the two groups (70.26 vs. 72.46 brief time period; p-value > 0.05). Except for questions linked to spinal sleep, postoperative confusions were comparable across the two groups. In the first 24 hours, the group taking local anesthesia knowledgeable more pain reduction. The median ward stay following surgery was smaller (2.36 days as opposed to 3.56 days) in the local anesthesia group. When distinguished to group B, group A's median opportunity to resume employment was smaller (8 days as opposed to 11 days). Under local sleep, inguinal hernia repair is a dependable, secure, and careful procedure. Use concerning this method will boost surgical performance two together in quantity and kind in India, where patients exceed resources and ability.

Author(s) Details:

Anurag Jain,
Department of General Surgery, Government Medical College, Satna, Madhya Pradesh, India.

Rajiv Jain,
Department of General Surgery, SAIMS, Indore, Madhya Pradesh, India.

Ashish Choudhrie,
Padhar Hospital, Betul, Madhya Pradesh, India.

Please see the link here: https://stm.bookpi.org/NRAMMS-V1/article/view/11781

Chronic Pain after Lichtenstein Inguinal Hernia Repair | Chapter 1 | Research Developments in Medicine and Medical Science Vol. 2

 This stage aims to determine the predominance of chronic pain following Lichtenstein inguinal break repair and risk factors for pain development.The study contained 347 patients accompanying primary concerned with one side inguinal hernia sustained Lichtenstein repair. Studies were done on sure preoperative, perioperative, and postoperative dossier. Patients were examined for inguinal pain after individual week following break repair (early postoperative pain), they were also examined 1 and 3 months, 1, 2 and 3 age following the surgery.26 subjects' records were lost throughout the remark. Following the surgical procedure, 321 things had examinations over the course of three years. One temporal length of event or entity's existence later of the  surgery 201 victims (62.6%) were experiencing  inguinal pain of various intensity, individual month later pain was experienced by 102 cases (31.8%), 3 months later - by 57 patients (17.8%), 1 period later - by 34 patients (10.6%), 2 old age later - by 27 patients (8.4%) and 3 old age later – by 25 patients (7.8%). Chronic examination inguinal pain (CPIP) development is correlated accompanying following factors: pre-active pain (P<0.001), young age (P=0.04) and moderate and severe early medical checkup pain (P<0.001). CPIP was not related to the following determinants: occupation rank, BMI, tobacco, hernia side, split type, operation occasion and anesthesia type. Risk determinants for chronic examination inguinal pain following Lichtenstein inguinal hernia repair are: preoperative pain, young age and moderate and harsh early postoperative pain.

Author(s) Details:

Zaza Demetrashvili,
Surgery Department, Tbilisi State Medical University, Georgia and Kipshidze Central University Hospital, Tbilisi, Georgia.

Eka Ekaladze,
Department of Biochemistry, Tbilisi State Medical University, Georgia.

Please see the link here: https://stm.bookpi.org/RDMMS-V2/article/view/9952

Assessment of Surgical Audit of Inguinal Hernia Surgery under Local Anaesthesia in Central India| Chapter 6 | Perspective of Recent Advances in Medical Research Vol. 7

 The present study proposed to evaluate the surgical audit of inguinal split surgery under local induced absence of feeling at a sector clinic start in main India. The findings of an audit transported to decide the animation and stability of utilizing local induced absence of feeling as a standard procedure in inguinal split resection in a locality ward happen India are presented in this place item. An work has happened fashioned through this prospective study to judge the being of local induced sleep for inguinal split medical procedure in conditions of cost effectiveness, minimising improvement occasion, and lowering routine case load on clinics accompanying a goal to determine fitness for all, in a position place patient load outnumbers money both in knowledge and conveniences.This potential study was attended at commune nursing home Sehore, Madhya Pradesh, India from July 2017 to March 2018 in surgical unit. Series of 120 sufferers accompanying age above 20 age, giving accompanying uncomplicated one-sided inguinal break were contained in study. The basic effects of the study were analysed on grounds of cost benefit, patient vindication levels, snags in the way that contamination, haematoma, never-ending pain, and repetition.The mean age of patients in present study was 44.23 age (20-76 age). The mean operating earlier 70 proceedings (40-90). The mean post influential room stay was 3.3 hours (2-6 hours). Intraoperatively 30 subjects (25%) had questions in the way that pain, bradycardia/heart attack, hypotension, sweat. Recurrance was observed in 1 patient (0.83%) all along the mean effect of 3.6 months (1-6 months). Post-influential care givers were intelligent to give more occasion with inmates charging ruling class as their assigned work was discounted dramatically cause most of sufferers were switched to spoken drugs and fluids immediately subsequently fluctuating to custody. More focus maybe fashioned towards danger patient load. Anaphylaxis is known problem of local induced sleep.

Author(s) Details:

Anurag Jain,
Department of General Surgery, Government Medical College, Ratlam, Madhya Pradesh, India.

Rajiv Jain,
Department of General Surgery, Sri Aurobindo Institute of Medical Sciences and Research Centre, Indore, Madhya Pradesh, India.

Hariom Gupta,
Department of Orthopaedics, District Hospital, Sehore, Madhya Pradesh, India.

Please see the link here: https://stm.bookpi.org/PRAMR-V7/article/view/9317

Inguinal Hernia Repairs in a Rural Setting in East Africa: A Clinical Approach| Chapter 01 | Issues and Developments in Medicine and Medical Research Vol. 3

 In the poor world, inguinal hernias are a leading source of morbidity and mortality. Due to the late presentation of inguinal hernias and the lack of availability and cost of mesh and laparoscopy in resource-constrained settings in rural Africa, clinical care of inguinal hernias may represent a therapeutic challenge to the surgeon. There is a scarcity of data and literature on the surgical treatment of inguinal hernias in our setting. Inguinal hernia affects 3% of women and 27% of men over their lifetime, with rates declining after 45 years of age. The goal of this study was to look at the clinical profile and results of inguinal hernia repair patients at our institution.

Methods: From April 1, 2008, to July 31, 2012, a descriptive retrospective study was conducted on all patients 15 years of age who had an inguinal hernia repair. The patients were evaluated on the surgical ward after surgery and again three months later at the surgical out-patient clinic. The following data were obtained using a pretested questionnaire: age, sex, recurrence of hernia, post-operative pain, and post-operative complications. Physical examination was performed to check for post-operative recurrence and evidence of haematomas, seromas, or acute wound sepsis that necessitated surgery.

The results of 158 patients who had an inguinal hernia repaired with the Modified Bassini method were studied. The average age was 44.84. The male to female ratio was 3.65:1, with males outnumbering females. 4 (2.53%) of patients had emergency inguinal hernia repairs, while the majority of patients, 154 (97.47%), had elective inguinal hernia repairs. 1(0.63 percent) seroma, 1(0.63 percent) haematoma, 1(0.63 percent) necrotizing fasciitis, and 1(0.63 percent) enterocutaneous fistula were among the morbidities. Overall, 3.16 percent of patients had complications.

Conclusions: Patients with inguinal hernias in rural Africa should be encouraged to present early with inguinal hernia signs and symptoms. Elective inguinal hernia surgery, regardless of the kind of repair, will reduce morbidity and death associated with this frequent condition in East Africa.

Author(S) Details

Richard Wismayer
Department of Surgery, St. Joseph’s Maracha Hospital, West Nile, Uganda and Department of Surgery, Habib Medical School, IUIU University, Kampala, Uganda.

View Book:- https://stm.bookpi.org/IDMMR-V3/article/view/5462

Determination of Chronic Post-Inguinal Herniorrhaphy Pain in a Setting in Rural Africa | Chapter 01 | Issues and Developments in Medicine and Medical Research Vol. 2

 Inguinal hernia is a frequent surgical ailment in Africa, with an annual incidence of 175 inguinal hernias per 100,000 persons. Chronic groyne discomfort is defined as pain that lasts for at least three months after an inguinal hernia has been repaired. Chronic groyne discomfort is a potentially incapacitating consequence that presents the surgeon with a therapeutic and diagnostic dilemma.

The goal of this study was to find out how common persistent groyne pain was in a group of patients in a rural African hospital setting.

Methodology: Between April 1, 2008, and July 31, 2012, a descriptive retrospective analysis was conducted on all patients under the age of 15 who received an inguinal hernia repair. Age, sex, recurrence of hernia, and post-operative pain lasting at least 3 months were all extracted from patients' clinical notes and theatre log books. The duration of discomfort, pain at the operation site, and kind of postoperative analgesia were all collected in the interview questionnaire, and a physical examination to assess recurrence was performed at the surgical-out-patients clinic.

The results of 158 individuals who had an inguinal hernia repaired with the modified Bassini technique were studied. The average age was 44.84. With a male predominance, the male:female ratio was 3.65:1. Chronic groyne pain/discomfort was reported by 22 people (13.92%), and it remained for at least 3 months after surgery.

Conclusions: The low frequency of persistent groyne pain in our study could be attributable to the fact that the majority of them were performed as elective procedures under local anaesthetic with regular ilioinguinal nerve identification. To determine the true prevalence of chronic groyne discomfort after inguinal hernia surgery in rural Africa, a bigger sample size and longer follow-up may be required.

Author(S) Details

Richard Wismayer
Department of Surgery, St. Joseph’s Maracha Hospital, Maracha, West Nile, Uganda and Department of Surgery, Habib Medical School, IUIU University, Kampala, Uganda.

View Book:- https://stm.bookpi.org/IDMMR-V2/article/view/5430