Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)
Inguinal hernias (IH) are widespread in the human population and occur in 27–43 % of men and 3–6 % of women. Many risk factors for IH have been overestimated in the last decade: male gender is considered the leading factor (the ratio between men and women is approximately 1:7), less significant fact...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | Russian |
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Scientific Сentre for Family Health and Human Reproduction Problems
2021-10-01
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| Series: | Acta Biomedica Scientifica |
| Subjects: | |
| Online Access: | https://www.actabiomedica.ru/jour/article/view/2994 |
| _version_ | 1797237218860859392 |
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| author | O. V. Oorzhak S. Y. Shost V. G. Mozes K. B. Mozes V. V. Pavlenko |
| author_facet | O. V. Oorzhak S. Y. Shost V. G. Mozes K. B. Mozes V. V. Pavlenko |
| author_sort | O. V. Oorzhak |
| collection | DOAJ |
| description | Inguinal hernias (IH) are widespread in the human population and occur in 27–43 % of men and 3–6 % of women. Many risk factors for IH have been overestimated in the last decade: male gender is considered the leading factor (the ratio between men and women is approximately 1:7), less significant factors are heredity (most significant for women), physical activity (more significant for men), age (peak prevalence of IH occurs at 5 years and 70–80 years), congenital or acquired connective tissue dysplasia, history of prostatectomy, low body mass index.Hernioplasty with the use of synthetic mesh prostheses remains the most popular technique for surgical correction of IH. Performing non-prosthetic hernioplasty is only recommended if mesh prostheses are not available, for example in poor countries. In open hernioplasty using mesh prostheses, different methods are used today: Plug & Patch, Prolene Hernia System, Parietene Progrip, sutureless plastic according to Trabucco, Stoppa, preperitoneal techniques TIPP (trans-inguinal pre-peritoneal), TREPP (transrectus pre-peritoneal), TEP (total extraperitoneal), however, none of them showed significant advantages over the gold standard of open hernioplasty – tensionfree repair according to Liechtenstein.Laparoscopic IH correction is represented by the TAPP (transabdominal preperitoneal) technique, performed through the abdominal cavity, and TEP (total extraperitoneal) – extraperitoneal prosthetic hernioplasty. None of them has a significant advantage in the treatment of IH; therefore, when choosing a treatment method, the surgeon should be guided by the cost of the operation and the level of proficiency in one or another hernioplasty technique. |
| first_indexed | 2024-03-08T12:16:11Z |
| format | Article |
| id | doaj.art-a049207760b54123a4d06da5361301a8 |
| institution | Directory Open Access Journal |
| issn | 2541-9420 2587-9596 |
| language | Russian |
| last_indexed | 2024-04-24T17:16:16Z |
| publishDate | 2021-10-01 |
| publisher | Scientific Сentre for Family Health and Human Reproduction Problems |
| record_format | Article |
| series | Acta Biomedica Scientifica |
| spelling | doaj.art-a049207760b54123a4d06da5361301a82024-03-28T07:49:25ZrusScientific Сentre for Family Health and Human Reproduction ProblemsActa Biomedica Scientifica2541-94202587-95962021-10-016423024210.29413/ABS.2021-6.4.212201Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)O. V. Oorzhak0S. Y. Shost1V. G. Mozes2K. B. Mozes3V. V. Pavlenko4Kuzbass Regional Clinical Hospital named after S.V. BelyaevKuzbass Regional Clinical Hospital named after S.V. BelyaevKemerovo State Medical UniversityKemerovo State Medical UniversityKemerovo State Medical UniversityInguinal hernias (IH) are widespread in the human population and occur in 27–43 % of men and 3–6 % of women. Many risk factors for IH have been overestimated in the last decade: male gender is considered the leading factor (the ratio between men and women is approximately 1:7), less significant factors are heredity (most significant for women), physical activity (more significant for men), age (peak prevalence of IH occurs at 5 years and 70–80 years), congenital or acquired connective tissue dysplasia, history of prostatectomy, low body mass index.Hernioplasty with the use of synthetic mesh prostheses remains the most popular technique for surgical correction of IH. Performing non-prosthetic hernioplasty is only recommended if mesh prostheses are not available, for example in poor countries. In open hernioplasty using mesh prostheses, different methods are used today: Plug & Patch, Prolene Hernia System, Parietene Progrip, sutureless plastic according to Trabucco, Stoppa, preperitoneal techniques TIPP (trans-inguinal pre-peritoneal), TREPP (transrectus pre-peritoneal), TEP (total extraperitoneal), however, none of them showed significant advantages over the gold standard of open hernioplasty – tensionfree repair according to Liechtenstein.Laparoscopic IH correction is represented by the TAPP (transabdominal preperitoneal) technique, performed through the abdominal cavity, and TEP (total extraperitoneal) – extraperitoneal prosthetic hernioplasty. None of them has a significant advantage in the treatment of IH; therefore, when choosing a treatment method, the surgeon should be guided by the cost of the operation and the level of proficiency in one or another hernioplasty technique.https://www.actabiomedica.ru/jour/article/view/2994herniainguinalhernioplastysurgical meshsurgical fixation devicesrisk factorslaparoscopy |
| spellingShingle | O. V. Oorzhak S. Y. Shost V. G. Mozes K. B. Mozes V. V. Pavlenko Inguinal hernia – epidemiology, risk factors, treatment methods (literature review) Acta Biomedica Scientifica hernia inguinal hernioplasty surgical mesh surgical fixation devices risk factors laparoscopy |
| title | Inguinal hernia – epidemiology, risk factors, treatment methods (literature review) |
| title_full | Inguinal hernia – epidemiology, risk factors, treatment methods (literature review) |
| title_fullStr | Inguinal hernia – epidemiology, risk factors, treatment methods (literature review) |
| title_full_unstemmed | Inguinal hernia – epidemiology, risk factors, treatment methods (literature review) |
| title_short | Inguinal hernia – epidemiology, risk factors, treatment methods (literature review) |
| title_sort | inguinal hernia epidemiology risk factors treatment methods literature review |
| topic | hernia inguinal hernioplasty surgical mesh surgical fixation devices risk factors laparoscopy |
| url | https://www.actabiomedica.ru/jour/article/view/2994 |
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