Groin hernias: causes, diagnostics, and surgery
Groin hernias occur in 27–48% of men and 3–6% of women during lifetime. Among the causes are inherited or age-related connective tissue or muscular dysplasia, lack of diverticular obliteration in fetal parietal peritoneum, pre-peritoneal lipomas migrating into the hernia ring, and congenital, postpa...
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| Format: | Article |
| Language: | Russian |
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Kemerovo State Medical University
2019-09-01
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| Series: | Фундаментальная и клиническая медицина |
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| Online Access: | https://fcm.kemsmu.ru/jour/article/view/168 |
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| author | V. I. Podoluzhnyi S. M. Lesnikov O. V. Shabalina |
| author_facet | V. I. Podoluzhnyi S. M. Lesnikov O. V. Shabalina |
| author_sort | V. I. Podoluzhnyi |
| collection | DOAJ |
| description | Groin hernias occur in 27–48% of men and 3–6% of women during lifetime. Among the causes are inherited or age-related connective tissue or muscular dysplasia, lack of diverticular obliteration in fetal parietal peritoneum, pre-peritoneal lipomas migrating into the hernia ring, and congenital, postpartum, or postoperation dilation of the femoral ring. Physical examination and examination of the preperitoneal space reveals hernia in 93% and 100%, respectively, yet ultrasound examination, computed tomographic peritoneography, magnetic resonance imaging are also employed to confirm the diagnosis. An established technique for the treatment of groin hernias includes opening the inguinal canal, high ligation of the hernia sac, and repair of the inguinal canal, altogether termed herniorrhaphy. Suprapubic or inguinal incision permits closure of the hernia sac without involving the inguinal canal (herniotomy). Implementation of synthetic meshes led to the increase in hernioplasty, i.e. reinforcement of the inguinal canal upon the inguinal canal repair. Laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) hernioplasty became widely used along with the development of endoscopic surgery. In these techniques, mesh is placed between the peritoneum and transversalis fascia, closing both inguinal canal and femoral ring. Overall, modern surgical techniques reduced the time of treatment, disability and disease recurrence to 1.4–2%. |
| format | Article |
| id | doaj-art-d44e6a79f35b4febb2bde56f91330267 |
| institution | Matheson Library |
| issn | 2500-0764 2542-0941 |
| language | Russian |
| publishDate | 2019-09-01 |
| publisher | Kemerovo State Medical University |
| record_format | Article |
| series | Фундаментальная и клиническая медицина |
| spelling | doaj-art-d44e6a79f35b4febb2bde56f913302672025-08-03T12:59:23ZrusKemerovo State Medical UniversityФундаментальная и клиническая медицина2500-07642542-09412019-09-014311312110.23946/2500-0764-2019-4-3-113-121167Groin hernias: causes, diagnostics, and surgeryV. I. Podoluzhnyi0S. M. Lesnikov1O. V. Shabalina2Kemerovo State Medical UniversityPodgorbunskiy Regional Clinical Emergency HospitalKemerovo State Medical UniversityGroin hernias occur in 27–48% of men and 3–6% of women during lifetime. Among the causes are inherited or age-related connective tissue or muscular dysplasia, lack of diverticular obliteration in fetal parietal peritoneum, pre-peritoneal lipomas migrating into the hernia ring, and congenital, postpartum, or postoperation dilation of the femoral ring. Physical examination and examination of the preperitoneal space reveals hernia in 93% and 100%, respectively, yet ultrasound examination, computed tomographic peritoneography, magnetic resonance imaging are also employed to confirm the diagnosis. An established technique for the treatment of groin hernias includes opening the inguinal canal, high ligation of the hernia sac, and repair of the inguinal canal, altogether termed herniorrhaphy. Suprapubic or inguinal incision permits closure of the hernia sac without involving the inguinal canal (herniotomy). Implementation of synthetic meshes led to the increase in hernioplasty, i.e. reinforcement of the inguinal canal upon the inguinal canal repair. Laparoscopic transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) hernioplasty became widely used along with the development of endoscopic surgery. In these techniques, mesh is placed between the peritoneum and transversalis fascia, closing both inguinal canal and femoral ring. Overall, modern surgical techniques reduced the time of treatment, disability and disease recurrence to 1.4–2%.https://fcm.kemsmu.ru/jour/article/view/168inguinal herniafemoral herniagroin herniaherniotomyherniorrhaphyhernioplastyendoscopic surgery |
| spellingShingle | V. I. Podoluzhnyi S. M. Lesnikov O. V. Shabalina Groin hernias: causes, diagnostics, and surgery Фундаментальная и клиническая медицина inguinal hernia femoral hernia groin hernia herniotomy herniorrhaphy hernioplasty endoscopic surgery |
| title | Groin hernias: causes, diagnostics, and surgery |
| title_full | Groin hernias: causes, diagnostics, and surgery |
| title_fullStr | Groin hernias: causes, diagnostics, and surgery |
| title_full_unstemmed | Groin hernias: causes, diagnostics, and surgery |
| title_short | Groin hernias: causes, diagnostics, and surgery |
| title_sort | groin hernias causes diagnostics and surgery |
| topic | inguinal hernia femoral hernia groin hernia herniotomy herniorrhaphy hernioplasty endoscopic surgery |
| url | https://fcm.kemsmu.ru/jour/article/view/168 |
| work_keys_str_mv | AT vipodoluzhnyi groinherniascausesdiagnosticsandsurgery AT smlesnikov groinherniascausesdiagnosticsandsurgery AT ovshabalina groinherniascausesdiagnosticsandsurgery |