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Inguinal hernia repair.

Martin Kurzer¹, Allan Kark, Tahir Hussain

¹British Hernia Centre, Northwick Park Hospital, Harrow.

Journal of Perioperative Practice

|August 19, 2007

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Inguinal hernia repair is a common surgery in the UK. This article reviews hernia definitions, causes, and surgical treatments, including traditional and laparoscopic methods with mesh, plus post-operative care advice.

Area of Science:

General Surgery
Surgical Innovation

Background:

Inguinal hernia repair is the most common general surgical procedure in the UK, with over 100,000 procedures annually.
Current day case rates for inguinal hernia repair (30%) fall short of Royal College of Surgeons recommendations (>50%).

Purpose of the Study:

To define hernias and describe the etiology and surgical management of inguinal and femoral hernias.
To explore differences between traditional and laparoscopic hernia repair techniques.
To discuss the use of polypropylene mesh, thromboprophylaxis, antibiotic therapy, and patient discharge advice.

Main Methods:

Review of current surgical practices and literature regarding inguinal and femoral hernia repair.
Comparison of traditional open surgery versus laparoscopic techniques.

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Discussion of biomaterials used in hernia repair, such as polypropylene mesh.

Main Results:

The article provides a comprehensive overview of hernia classification, pathogenesis, and surgical interventions.
It details advancements in surgical repair, including laparoscopic approaches and the role of mesh prosthetics.
Guidance on perioperative management, including thromboprophylaxis, antibiotics, and discharge instructions, is outlined.

Conclusions:

Optimizing day case rates for inguinal hernia repair aligns with surgical recommendations and enhances patient throughput.
Laparoscopic techniques and mesh augmentation represent significant advancements in hernia repair efficacy.
Standardized perioperative care and discharge advice are crucial for successful patient outcomes after hernia surgery.