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Abstract
Hernia surgery is a widely practiced surgical intervention to correct abnormal protrusions of organs or tissues through the abdominal wall, focusing on inguinal and incisional hernias. This review article addressed various surgical techniques and their clinical implications, as well as discussed post-operative complications and management strategies. For inguinal hernias, the choice between open surgery with mesh and laparoscopic approach depends on the individual patient assessment. Laparoscopic surgery offers faster recovery and less pain but requires specific skills and equipment. As for incisional hernias, the complexity of the hernia guides the choice of surgical technique, with open mesh repair for smaller cases and midline reinforcement techniques for larger hernias. In addition to techniques, managing post-operative complications is critical. Wound infections can be minimized with aseptic surgical practices and prophylactic antibiotics. Post-operative pain, including chronic pain, requires a multidisciplinary approach and careful selection of mesh materials. This constantly evolving field requires surgeons to stay updated with best practices. Future research should continue to investigate the effectiveness of surgical techniques and strategies to minimize post-operative complications. In summary, hernia surgery is pivotal in surgical practice, with a variety of approaches available. Proper technique selection and complication management are crucial for the success of the procedure and the post-operative quality of life for patients.
References
AMID, P. K. (1997). Lichtenstein tension-free hernioplasty: Its inception, evolution, and principles. Hernia, 1(2), 89-94.
BHANGU, A., SINGH, P., FITZGERALD, J. E., & SLESSER, A. A. (2013). Systematic review and meta-analysis of prophylactic mesh placement for prevention of incisional hernia following midline laparotomy. Hernia, 17(4), 445-455.
BILSEL, Y., ABCI, I., & HACIYANLI, M. (2008). A prospective randomized trial comparing suture mesh fixation versus tacker mesh fixation for inguinal hernia repair. Surgery Today, 38(11), 972-978.
BITTNER, R., MONTGOMERY, M. A., ARREGUI, E., BANSAL, V., BINGENER, J., BISGAARD, T., ... & MISRA, M. C. (2019). Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society). Surgical Endoscopy, 33(11), 3511-3549.
BURGER, J. W., LUIJENDIJK, R. W., HOP, W. C., HALM, J. A., VERDAASDONK, E. G., JEEKEL, J., ... & SIMONS, M. P. (2004). Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Annals of Surgery, 240(4), 578-583.
CUCCURULLO, D., PICCOLI, M., AGRESTA, F., MAGNONE, S., CORCIONE, F., STANCANELLI, V., & MELOTTI, G. (2014). Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian Consensus Conference. Hernia, 18(3), 295-310.
DEERENBERG, E. B., TIMMERMANS, L., HOGERZEIL, D. P., SLIEKER, J. C., EILERS, P. H., JEEKEL, J., & LANGE, J. F. (2015). A systematic review of the surgical treatment of large incisional hernia. Hernia, 19(1), 89-101.
DEN HARTOG, D., DUR, A. H., & TUINEBREIJER, W. E. (2008). Open surgical procedures for incisional hernias. Cochrane Database of Systematic Reviews, 3(3), CD006438.
FERZLI, G. S., EDWARDS, E. D., KHOURY, G. A., & SIMMONS, R. L. (1991). The tension-free hernioplasty. The American Journal of Surgery, 161(3), 385-388.
FELIU-PALA, X., MARTIN, M., CARRIO, I., VILLANUEVA, M., FORT, E., & SEGURA, M. (1998). Totally preperitoneal endoscopic hernioplasty: a preliminary report on 100 cases. World Journal of Surgery, 22(1), 15-19.
FITZGIBBONS JR, R. J., GIOBBIE-HURDER, A., GIBBS, J. O., DUNLOP, D. D., REDA, D. J., MCCARTHY JR, M., ... & JONASSON, O. (2006). Watchful waiting vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA, 295(3), 285-292.
HELGSTRAND, F., JORGENSEN, L. N., ROSENBERG, J., & KEHLET, H. (2010). Bisgaard: Establishment and initial experiences with a hernia database: a report from the Danish Hernia Database. Hernia, 14(2), 131-135.
HOLIHAN, J. L., KARANJAWALA, B., KO, A., ASKENASY, E. P., GREENBERG, J. A., & KEITH, J. N. (2019). Mesh location in open ventral hernia repair: a systematic review and network meta-analysis. World Journal of Surgery, 43(10), 2499-2506.
LICHTENSTEIN, I. L., SHULMAN, A. G., AMID, P. K., & MONTLLOR, M. M. (1989). The tension-free hernioplasty. American Journal of Surgery, 157(2), 188-193.
LI, J., JI, Z., LI, Y., HUANG, X., LU, Y., ZHU, J., ... & LIU, J. (2018). Laparoscopic versus open hernia repair for inguinal hernia: a systematic review and meta-analysis of randomized controlled trials. BMC Surgery, 18(1), 1-8.
LUIJENDIJK, R. W., HOP, W. C., VAN DEN TOL, M. P., DE LANGE, D. C., BRAAKSMA, M. M., IJZERMANS, J. N., ... & JEEKEL, J. (2000). A comparison of suture repair with mesh repair for incisional hernia. New England Journal of Medicine, 343(6), 392-398.
MISEREZ, M., ALEXANDRE, J. H., CAMPANELLI, G., CORCIONE, F., CUCCURULLO, D., PASCUAL, M. H., ... & MANDALA, V. (2007). The European hernia society groin hernia classification: simple and easy to remember. Hernia, 11(2), 113-116.
NOVITSKY, Y. W., ELLIOTT, H. L., ORENSTEIN, S. B., & ROSEN, M. J. (2012). Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. The American Journal of Surgery, 204(5), 709-716.
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Copyright (c) 2023 Catharina Cangussu Fernandes Ribeiro , Alice Crespo Brito , Wildson de Jesus Lima Moraes , Giovanna Cantuaria Cruz Santos , Amanda Torres de Freitas