Year 2023 Vol. 31 No 4

SCIENTIFIC PUBLICATIONS

P.A. ERASHOV 1, V.L. DENISENKO 1, 2

CURRENT APPROACHES TO GROIN HERNIAS MANAGEMENT

Vitebsk State Medical University 1,
Vitebsk Regional Clinical Specialized Centre 2, Vitebsk,
Republic of Belarus

Surgeries for groin hernias (GH) are among the most common elective surgical interventions. More than 20 million inguinal hernioplasties are performed worldwide every year. Most patients with GH belong to the working-age population. Therefore, the treatment of GH has a large socioeconomic burden on healthcare systems around the world.
Over the past 50 years, approaches to the surgical treatment of GH have undergone significant changes. And work to improve treatment tactics for such patients is still ongoing. Our aim was to analyze recent reviews, meta-analyses and clinical guidelines regarding the management of patients with GH.
It was found that etiopathogenetically justified treatment options for GH are tension-free hernioplasties with a mesh implantation (Lichtenstain plasty, transabdominal preperitoneal plasty (TAPP) and total preperitoneal plasty (TEP)). When choosing a surgical option, a tailored approach should be used, taking into account the type of hernia, gender and age of the patient. Hernioplasty using own patient`s tissues is undesirable. It only may be used in exceptional cases.
We also reviewed the main complications of surgical treatment of GH, methods for their prevention and management.

Keywords: inguinal hernia, groin hernia, hernias management, complications of hernioplasty, guidelines
p. 301-311 of the original issue
References
  1. Purkayastha S, Chow A, Athanasiou T, Tekkis P, Darzi A. Inguinal hernia. BMJ Clin Evid. 2008 Jul 16:2008:0412. PMID: 19445744.
  2. Shakil A, Aparicio K, Barta E, Munez K. Inguinal Hernias: Diagnosis and Management. Am Fam Physician. 2020 Oct 15;102(8):487-492. PMID: 33064426.
  3. Abebe MS, Tareke AA, Alem A, Debebe W, Beyene A. Worldwide magnitude of inguinal hernia: Systematic review and meta-analysis of population-based studies. SAGE Open Med. 2022 Nov 22:10. doi: 10.1177/20503121221139150.
  4. Berndsen MR, Gudbjartsson T, Berndsen FH. Inguinal hernia review. [Article in Icelandic] Laeknabladid. 2019 Sept 105(9):385-391. doi: 10.17992/lbl.2019.09.247.
  5. Köckerling F, Koch A, Lorenz R. Groin Hernias in Women A Review of the Literature. Front Surg. 2019; 6:4. doi: 10.3389/fsurg.2019.00004.
  6. Aydin M, Fikatas P, Denecke C, Pratschke J, Raakow J. Cost analysis of inguinal hernia repair: the influence of clinical and hernia-specific factors. Hernia. 2021 Oct;25(5):1129-1135. doi: 10.1007/s10029-021-02372-1.
  7. Burcharth J. The epidemiology and risk factors for recurrence after inguinal hernia surgery. Dan Med J. 2014 May;61(5):B4846. PMID: 24814748.
  8. The HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018 Feb;22(1):1-165. doi: 10.1007/s10029-017-1668-x.
  9. Van Veenendaal N, Simons M, Hope W, Tumtavitikul S, Bonjer J, HerniaSurge Group. Consensus on international guidelines for management of groin hernias. Surg Endosc. 2020 Jun;34(6):2359-2377. doi: 10.1007/s00464-020-07516-5.
  10. Köckerling F, Simons MP. Current Concepts of Inguinal Hernia Repair. Visc Med. 2018 Apr;34(2):145-150. doi: 10.1159/000487278.
  11. Lau WY. History of treatment of groin hernia. World J Surg. 2002 Jun;26(6):748-59. doi: 10.1007/s00268-002-6297-5.
  12. Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP. Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2014 Apr;18(2):151-63. doi: 10.1007/s10029-014-1236-6.
  13. Huang F-H, Cheng P-L, Hou W-H, Duh Y-C. Laparoscopic Hernia Repair with the Extraperitoneal Approach versus Open Hernia Repair in Pediatric Inguinal Hernia: A Systematic Review and Meta-Analysis. J Clin Med. 2022 Jan 10;11(2):321. doi: 10.3390/jcm1102032.
  14. Haladu N, Alabi A, Brazzelli M, Imamura M, Ahmed I, Ramsay G, Scott NW. Open versus laparoscopic repair of inguinal hernia: an overview of systematic reviews of randomised controlled trials. Surg Endosc. 2022 Jul;36(7):4685-4700. doi: 10.1007/s00464-022-09161-6.
  15. Lomnicki J, Leszko A, Kulis D, Szura M. Current treatment of the inguinal hernia the role of the totally extraperitoneal (TEP) hernia repair. Folia Med Cracov. 2018;58(3):103-114. doi: 10.24425/fmc.2018.125076.
  16. Köckerling F, Schug-Pass C. Tailored approach in inguinal hernia repair decision tree based on the guidelines. Front Surg. 2014 Jun 20:1:20. doi: 10.3389/fsurg.2014.00020.
  17. Scheuermann U, Niebisch S, Lyros O, Jansen-Winkeln B, Gockel I. Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair A systematic review and meta-analysis of randomized controlled trials. BMC Surg. 2017 May 10;17(1):55. doi: 10.1186/s12893-017-0253-7.
  18. Aiolfi A, Cavalli M, Del Ferraro S, Manfredini L, Lombardo F, Bonitta G, Bruni PG, Panizzo V, Campanelli G, Bona D. Total extraperitoneal (TEP) versus laparoscopic transabdominal preperitoneal (TAPP) hernioplasty: systematic review and trial sequential analysis of randomized controlled trials. Hernia. 2021 Oct;25(5):1147-1157. doi: 10.1007/s10029-021-02407-7.
  19. Sudhir KJ, Sushant B, Tariq H, Rehan K, Amrita D. A randomised controlled trial of Lichtenstein repair with Desarda repair in the management of inguinal hernias. Ann Med Surg (Lond). 2021 Jun 12:67:102486. doi: 10.1016/j.amsu.2021.102486.
  20. Baylón K, Rodríguez-Camarillo P, Elías-Zúñiga A, Díaz-Elizondo JA, Gilkerson R, Lozano K. Past, Present and Future of Surgical Meshes: A Review. Membranes (Basel). 2017 Aug 22;7(3):47. doi: 10.3390/membranes7030047.
  21. Saiding Q, Chen Y, Wang J, Pereira CL, Sarmento B, Cui W, Chen X. Abdominal wall hernia repair: from prosthetic meshes to smart materials. Mater Today Bio. 2023 Jun 29:21:100691. doi: 10.1016/j.mtbio.2023.100691.
  22. Köckerling F, Alam NN, Narang SK, Daniels IR, Smart NJ. Biological meshes for inguinal hernia repair review of the literature. Front Surg. 2015 Sep 15:2:48. doi: 10.3389/fsurg.2015.00048.
  23. Serafim A, Cecoltan S, Olaret E, Dragusin D-M, Vasile E, Popescu V, Mastalier BSM, Iovu H, Stancu I-C. Bioinspired Hydrogel Coating Based on Methacryloyl Gelatin Bioactivates Polypropylene Meshes for Abdominal Wall Repair. Polymers (Basel). 2020 Jul 28;12(8):1677. doi: 10.3390/polym12081677.
  24. Mirel S, Pusta A, Moldovan M, Moldovan S. Antimicrobial Meshes for Hernia Repair: Current Progress and Perspectives. J Clin Med. 2022 Feb 8;11(3):883. doi: 10.3390/jcm11030883.
  25. Ibrahim SR, Ward PJ. Tissue Adhesives for Hernia Mesh Fixation: A Literature Review. Cureus. 2020 Sep 16;12(9):e10494. doi: 10.7759/cureus.10494.
  26. Li L, Pang Y, Wang Y, Li Q, Meng X. Comparison of spinal anesthesia and general anesthesia in inguinal hernia repair in adult: a systematic review and metaanalysis. BMC Anesthesiol. 2020 Mar 10;20(1):64. doi: 10.1186/s12871-020-00980-5.
  27. Zamkowski MT, Makarewicz W, Ropel J, Bobowicz M, Kakol M, Smietański M. Antibiotic prophylaxis in open inguinal hernia repair: a literature review and summary of current knowledge. Wideochir Inne Tech Maloinwazyjne. 2016;11(3):127-136. doi: 10.5114/wiitm.2016.62800.
  28. Fonnes S, Holzknecht BJ, Arpi M, Rosenberg J. Profylaktisk brug af antibiotika ved herniekirurgi. Ugeskr Laeger. 2017 Sep 11;179(37):V01170080. PMID: 28918776.
Address for correspondence:
210009, Republic of Belarus,
Vitebsk, Frunze prospect,
Vitebsk State Medical University,
Chair of General Surgery,
-mail: generalsurgeryvsmu@mail.ru,
ph.: +375 33 675-22-21
Pavel Erashov .
Information about the authors:
Erashov P.A., assistant of the Chair of General Surgery, Vitebsk State Medical University, Vitebsk, Belarus.
http://orcid.org/0009-0008-7545-6228
Denisenko V.L., Doctor of Medical Sciences, professor of the Chair of General Surgery, Vitebsk State Medical University, Vitebsk, Belarus.
http://orcid.org/0000-0003-2394-340X
Contacts | ©Vitebsk State Medical University, 2007-2023