Open Emergent Groin Hernia Repair: Anterior or Posterior Approach?

V Rodrigues-Gonçalves1, M Verdaguer1, M Moratal1

  • 1Abdominal Wall Surgery Unit, General Surgery Department, Hospital Universitari Vall d'Hebron, Universitat Autónoma de Barcelona, Barcelona, Spain.

Summary

Open preperitoneal mesh repair shows promise for emergency groin hernia repair, offering lower recurrence rates and avoiding associated laparotomies. This technique may be superior for better patient outcomes in emergency settings.

Related Concept Videos

Long-patch Base Excision Repair01:02

Long-patch Base Excision Repair

Since the discovery of the two BER pathways, there has been a debate about how a cell chooses one pathway over the other and the factors determining this selection. Numerous in vitro experiments have pointed out multiple determinants for the sub-pathway selection. These are:
Design Example: Joints in Concrete Pavements01:28

Design Example: Joints in Concrete Pavements

Concrete pavement joints are essential for maintaining the structural integrity and longevity of pavement by controlling where and how the pavement cracks. These joints can be categorized based on their functions, such as contraction or control joints, construction joints, isolation joints, and expansion joints.
Contraction joints are typically formed by sawing a groove into the concrete shortly after it has hardened. This creates a weakened vertical plane, deliberately encouraging cracking at...
Design Example: Measuring Distance Between Two Points with Obstructions01:10

Design Example: Measuring Distance Between Two Points with Obstructions

When measuring distances in areas with physical obstructions, such as a lake in a field, surveyors must employ techniques to calculate accurate lengths without direct line measurements. One effective method is the offset technique, which allows for precise distance estimation over inaccessible stretches.In this scenario, a surveyor must measure a side of an area that crosses a lake. Since the measuring tape cannot span the lake, the surveyor begins by establishing a baseline that aligns with...
Design Example: Maintaining Level of an Embankment01:19

Design Example: Maintaining Level of an Embankment

Constructing a roadway embankment over uneven terrain requires precise leveling to ensure stability and proper drainage. Surveyors use a leveling instrument and staff to calculate ground elevations and determine the required fill material at each point along the embankment alignment.The process begins by positioning a leveling instrument near a benchmark with a known elevation. A backsight reading establishes the instrument height, which serves as a reference for subsequent measurements. A...
Adjusting a Traverse01:12

Adjusting a Traverse

In the site survey of a four-sided traverse, internal angles are essential to ensure geometric accuracy. The survey revealed that the sum of the measured internal angles was 359 degrees and 48 minutes, which is 12 minutes less than the expected 360 degrees. This discrepancy signals an error likely arising from measurement inaccuracies during the fieldwork.To rectify this error, the adjustment process involved distributing the 12-minute shortfall equally across the four internal angles. By...
Design Example: Alignment of a Road Line Using GIS01:17

Design Example: Alignment of a Road Line Using GIS

The alignment of a road line using Geographic Information Systems (GIS) is a critical process in civil engineering, combining advanced technology with practical decision-making. This methodology begins with the collection of geospatial data, including information on land cover, geomorphology, drainage patterns, slope, and contour details. Such data is typically acquired through satellite imagery and GIS tools, offering a comprehensive understanding of the terrain.Once the data is gathered, it...