Related Experiment Video
Updated: Mar 24, 2026
04:14
Author Spotlight: Recent Advancements in Reoperative Foregut Surgery
Published on: September 22, 2023
996
Evidence-Based Hernia Treatment in Adults
1Clinic of Abdominal, Thoracic and Pediatric Surgery, Klinikum Mittelbaden/Balg, Baden-Baden.
Deutsches Arzteblatt International
|March 19, 2016
Summary
Inguinal hernia repair guidelines recommend mesh-based repairs and minimally invasive techniques like laparoscopy or endoscopy, especially for women and bilateral hernias, to reduce chronic pain.
Area of Science:
- General Surgery
- Evidence-Based Medicine
Background:
- Inguinal hernia repair is a common surgical procedure.
- Techniques include suture- and mesh-based methods, as well as open and minimally invasive approaches.
Purpose of the Study:
- To review current evidence and guidelines for inguinal hernia repair.
- To provide recommendations on surgical techniques and patient selection.
Main Methods:
- Selective literature search.
- Interpretation of findings based on evidence-based medicine principles.
Main Results:
- Inguinal hernias are diagnosed via physical examination.
- Surgery is recommended for all hernias in women and bilateral hernias, preferably using laparoscopic or endoscopic techniques.
- Laparoscopic/endoscopic repair is associated with less chronic pain compared to open surgery.
- Mesh-based repair is generally recommended due to the extracellular matrix's role in hernia pathogenesis.
Conclusions:
- International guidelines, based on high-level evidence, address the choice of inguinal hernia repair procedures.
- Surgeons should adhere to guidelines unless exceptional circumstances warrant deviation.
- Hernia surgeons must be proficient in both open and endoscopic/laparoscopic techniques.
