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Published on: December 23, 2022
[Repair of bilateral inguinal hernias--sequential or simultaneous?].
F Pfeffer1, H Riediger, R Küfner Lein
1Department of Surgery, Haukeland University Hospital, Bergen, Norway. frank-pfeffer@web.de
Zentralblatt Fur Chirurgie
|October 17, 2008
Summary
Simultaneous bilateral inguinal hernia repair is safe and effective, with outcomes comparable to unilateral repairs. Operate only on symptomatic hernias, and consider simultaneous repair if no complications are anticipated.
Area of Science:
- Surgical Innovation
- Hernia Repair Techniques
- Evidence-Based Medicine
Background:
- Tension-free hernia repair has advanced surgical outcomes.
- Simultaneous bilateral inguinal hernia repair is increasingly popular despite some controversy.
- This paper evaluates recent literature on bilateral inguinal hernia treatment.
Purpose of the Study:
- To evaluate recent publications on the treatment of bilateral inguinal hernias.
- To assess the safety and efficacy of simultaneous bilateral inguinal hernia repair.
Main Methods:
- Searched Cochrane Database, BMJ Clinical Evidence, Pubmed, and Embase.
- Used keywords: "simultaneous", "bilateral", "inguinal", "hernia".
- Evaluated patient numbers, recurrence rates, complications, study types, and conclusions.
Main Results:
- No significant difference in recurrence or complication rates between simultaneous bilateral and unilateral repairs.
- Recurrence rates ranged from 0.3-19% (bilateral) and 0.7-15% (unilateral).
- Complication rates varied (2.5-26.7% bilateral, 3-21% unilateral); all listed surgical methods are adequate.
Conclusions:
- Simultaneous bilateral inguinal hernia repair is safe and effective.
- Postoperative pain and recovery are comparable to unilateral repairs.
- Operate only symptomatic bilateral hernias; simultaneous repair is recommended if no complications are expected.
