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Related Experiment Video

Updated: Jul 5, 2025

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Surgical Approach to Bilateral Inguinal Hernia. A Case-Control Study.

Claudiu-Octavian Ungureanu, Octav Ginghina, Floris Stanculea

    Chirurgia (Bucharest, Romania : 1990)
    |January 16, 2024
    PubMed
    Summary

    For bilateral inguinal hernia repair, patients over 65 years old are four times more likely to undergo open surgery. Anticoagulant use also significantly increases the risk of open repair over minimally invasive options.

    Keywords:
    LichtensteinRivesStoppaagebilateralinguinalherniatotalextraperitonealapproachTEP

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    Area of Science:

    • General Surgery
    • Surgical Outcomes
    • Hernia Repair

    Background:

    • Bilateral inguinal hernias can be repaired simultaneously using open or minimally invasive techniques.
    • The optimal surgical approach for bilateral inguinal hernia repair remains debated, with patient age as a key consideration.

    Purpose of the Study:

    • To analyze the factors influencing the choice between open and minimally invasive surgical approaches for elective bilateral inguinal hernia repair.
    • To investigate the association between patient characteristics and hernia features with the selected surgical method.

    Main Methods:

    • A retrospective case-control study comparing open hernia repair (cases, n=23) with laparoscopic hernia repair (controls, n=82).
    • Analysis of patient variables including age (≥65 years), BMI, smoking, hypertension, COPD, diabetes, anticoagulant use, and neoplastic status.
    • Evaluation of hernia characteristics such as inguinoscrotal, recurrent, and complicated hernias.

    Main Results:

    • Multivariate analysis revealed that age ≥65 years (OR=4.183) and anticoagulant use (OR=38.876) were statistically significant predictors of open hernia repair.
    • Patients aged 65 years and older had a fourfold increased risk of undergoing open repair.
    • Anticoagulant use was associated with a 38-fold increased risk of open repair compared to minimally invasive repair.

    Conclusions:

    • Age ≥65 years and anticoagulant use are significant factors associated with the selection of open repair for bilateral inguinal hernias.
    • Hernia characteristics were not found to be associated with the choice of open repair in this study.
    • Further research is warranted to explore the impact of age-related factors on surgical outcomes in bilateral inguinal hernia repair.