Search Our Scientific Publications & Authors

Ann Surg Open 2023 Sep 29;4(3):e310. Epub 2023 Jun 29.

Department of Surgery, Duke University Medical Center, Durham, NC.

The use of prosthetic mesh to repair inguinal hernias has been common practice at surgical centers around the world for more than 30 years. Open tissue repairs are the alternative for patients who cannot have, do not want, or are not offered mesh. Open tissue repairs are troubled by inferior recurrence rates in most clinical trials. Read More

Hernia 2023 Sep 22. Epub 2023 Sep 22.

Department of Surgery, Henry Ford Hospital, Detroit, MI, USA.

Purpose: This study aims to define the risk of post-operative urinary retention (POUR) following inguinal hernia repair in those that received sugammadex compared to anticholinesterase.

Methods: Adults undergoing inguinal herniorrhaphy from January 2019 to July 2022 with at least 30-day follow-up receiving rocuronium or edrophonium and reversed with an anticholinesterase or sugammadex were included. 1-to-2 propensity score matched models were fitted to evaluate the treatment of effect of sugammadex vs. Read More

Langenbecks Arch Surg 2023 Sep 21;408(1):369. Epub 2023 Sep 21.

Department of Abdominal Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Purpose: The aim of this study was to analyze pain after surgery with the use of self-fixated meshes, which are commonly used as an alternative for sutured mesh in open inguinal hernia repair.

Methods: This prospective randomized clinical trial was conducted from November 2018 to March 2021, with a follow-up duration of 12 months. Male patients, aged 18-85, and suitable for day case surgery, were included. Read More

Cureus 2023 Aug 17;15(8):e43652. Epub 2023 Aug 17.

General Surgery, Sri Ramachandra Institute of Higher Education and Research, Chennai, IND.

Background Inguinal hernia is one of the most common conditions in India, and history has many repair techniques recorded in it. Postoperative pain still remains a problem despite tension-free hernioplasty being accepted as the gold standard. Increased duration of surgery not only exposes the patient to unwanted increased chances of mesh infection but also reduces the surgeon's productivity if continued persistently. Read More

Surg Laparosc Endosc Percutan Tech 2023 Sep 8. Epub 2023 Sep 8.

Department of General Surgery, T.C. Bursa Yüksek İhtisas Training and Research Hospital, Yildirim, Bursa, Turkey.

Introduction: Laparoscopic inguinal hernia repair has gained popularity due to its advantages over open procedures. However, technical challenges and anatomical variations can affect surgical outcomes. The umbilicus-symphysis pubis (USP) distance has been identified as a potential factor impacting laparoscopic operations. Read More

Hernia 2023 Sep 19. Epub 2023 Sep 19.

Department of Surgery, Tenwek Hospital, P.O. Box 39, 20400, Bomet, Kenya.

Purpose: Open repair of groin hernia is an essential skill for the general surgeon. This study aimed to develop a low-cost hernia model based on a validated high-fidelity model and assess its effectiveness in teaching inguinal hernia repair to surgical trainees from many institutions throughout Africa.

Methods: Using inexpensive, locally available materials, a low-cost hernia model was created. Read More

Hernia 2023 Sep 16. Epub 2023 Sep 16.

University of Texas Medical Branch, Galveston, TX, USA.

Purpose: We aimed to perform a systematic review and meta-analysis comparing postoperative outcomes in inguinal hernia repair with TIPP versus Lichtenstein technique.

Methods: Cochrane Central, Scopus, and PubMed were systematically searched for studies comparing TIPP and Lichtenstein´s technique for inguinal hernia repair. Outcomes assessed were operative time, bleeding, surgical site events, hospital stay, the Visual Analogue Pain Score, chronic pain, paresthesia rates, and recurrence. Read More

J Minim Invasive Surg 2023 Sep;26(3):128-133

Department of Surgery, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

Purpose: Robotic hernia repair has increased in popularity since the introduction of da Vinci robots (Intuitive Surgical). However, we lack quantitative analyses of its potential benefits. Herein, we report our initial experience with robotic transabdominal preperitoneal (R-TAPP) inguinal hernia repair. Read More

J Minim Invasive Surg 2023 Sep;26(3):121-127

Department of Surgery, The Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Purpose: Minimally invasive surgery (MIS) offers patients several benefits, such as smaller incisions, and fast recovery times. General surgery residents should be trained in both open and MIS. We aimed to examine the trends of minimally invasive and open procedures performed by general surgery residents in Thailand. Read More

JA Clin Rep 2023 Sep 13;9(1):60. Epub 2023 Sep 13.

Department of Anesthesia, Takatsuki General Hospital, 1-3-13 Kosobe-Cho, Takatsuki, Osaka, 5691192, Japan.

Background: We report the anesthetic management of inguinal hernia repair for an infant with subglottic stenosis. A previously scheduled operation had been cancelled due to unexpected airway trouble during the induction.

Case Presentation: A boy was born at 24 weeks of gestation and his trachea was intubated for 45 days. Read More

Hernia 2023 Sep 8. Epub 2023 Sep 8.

Department of Surgery, The Permanente Medical Group, Richmond, CA, USA.

Purpose: We sought to compare females and males for the risk of reoperation following different inguinal hernia repair approaches (open, laparoscopic, and robotic).

Methods: We conducted a retrospective cohort study including all patients aged ≥ 18 who underwent first inguinal hernia repair with mesh within a US integrated healthcare system (2010-2020). Data were obtained from the system's integrated electronic health record. Read More

BMC Surg 2023 Sep 6;23(1):270. Epub 2023 Sep 6.

Department of Gastrointestinal Surgery, Institute of Digestive and Metabolic Diseases, Hospital Clínic Barcelona, C. de Villarroel, 170, 08036, Barcelona, Spain.

Background: The guidelines recommend laparoscopic repair for bilateral inguinal hernia. However, few studies compare the totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) techniques in bilateral inguinal hernias. This study aimed to compare the outcomes of TEP and TAPP in bilateral inguinal hernia. Read More

Trials 2023 Sep 5;24(1):572. Epub 2023 Sep 5.

General Surgery and Hernia Centre, Swissmed Hospital, Gdańsk, Poland.

Background: International guidelines of groin hernia treatment strongly recommend to fixate the mesh in large M3 medial defects during TAPP/TEP procedures. The main purpose of fixation is to decrease the recurrence rate which is alarmingly high in case of those defects. In 2022, a team consisting of hernia surgeons and scientists from universities of technology conducted an experimental study with the use of 3D groin model to verify the hypothesis that fixation is not necessary in above cases. Read More

Cureus 2023 Jul 21;15(7):e42260. Epub 2023 Jul 21.

Emergency Department, Civil Hospital Mukerian, Mukerian, IND.

Acute urinary retention is a known complication of inguinal hernia repair. However, the development of severe agitation and delirium as a result of acute urinary retention following inguinal hernia repair is less commonly reported. Here, we present the case of a 40-year-old male with no relevant medical history who underwent open mesh hernia repair for an uncomplicated left-sided indirect inguinal hernia. Read More

Cureus 2023 Jul 20;15(7):e42209. Epub 2023 Jul 20.

General Surgery, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, IND.

Introduction Inguinal hernia is a common surgical problem throughout the world. Currently, the management options available are open mesh hernioplasty and laparoscopic mesh repair. Laparoscopic mesh repair can be performed by either transabdominal preperitoneal (TAPP) repair or totally extraperitoneal (TEP) repair. Read More

Surg Endosc 2023 Aug 17. Epub 2023 Aug 17.

Cleveland Clinic Center for Abdominal Core Health, 9500 Euclid Ave, Cleveland, OH, 44195, USA.

Introduction: Core abdominal injury (CAI) is a broad term that describes injuries resulting from repetitive loading of the pubis that leads to inflammation, rupture, or destabilization of the core muscles from the pubic bone. There is no clear recommendation on the surgical approach to CAI. We aimed to describe how hernia surgeons within the Abdominal Core Health Quality Collaborative (ACHQC) address this problem surgically and the short-term outcomes. Read More

Cureus 2023 Jul 14;15(7):e41886. Epub 2023 Jul 14.

Faculty of Medicine, "Lucian Blaga" University of Sibiu, Bucharest, ROU.

Inguinal hernia repairs are one of the most common procedures in general surgery. In addition to classical open surgery, laparoscopic techniques, such as transabdominal preperitoneal (TAPP) and total extraperitoneal (TEP) hernia repair, have gained acceptance and are increasingly used for inguinal hernia repairs, and these three techniques are the only standards for inguinal hernia repairs. This study aimed to compare the results of inguinal hernia repairs in adult patients using the TAPP patch technique and Lichtenstein techniques regarding the level of pain perceived one day after surgery and the number of days of hospitalization. Read More

Ther Clin Risk Manag 2023 8;19:657-666. Epub 2023 Aug 8.

Department of General Surgery, Xishan People's Hospital of Wuxi City, Wuxi, 214105, People's Republic of China.

Objective: Although laparoscopic repair has been widely carried out and promoted due to its minimally invasive advantages, open surgery is still popular compared to elderly patients. This study aims to compare the outcomes of laparoscopic (LIHR) vs open repair of inguinal hernias (OIHR) in elderly patients.

Methods: A retrospective analysis of the database was performed to identify elderly patients, from January 2021 through December 2022, who underwent surgery for an inguinal hernia. Read More

J Surg Case Rep 2023 Aug 9;2023(8):rjad449. Epub 2023 Aug 9.

Surgery Department, Bashair Teaching Hospital. Khartoum City 12217, Sudan.

Retained surgical items that remain inside patient's body during operation are linked to increased mortality, morbidity and negative financial consequences. This case reports a 65-year's-old male nurse with bilateral inguinal swelling. With history of right sided inguinal hernia 8 years ago that underwent open repair without mesh. Read More

Hernia 2023 Aug 8. Epub 2023 Aug 8.

Boston Hernia and Pilonidal Center, 20 Walnut Street, Suite 100, Wellesley, MA, 02481, USA.

Introduction: The Lichtenstein repair has been synonymous with "open" inguinal hernia repair (IHR) for 40 years. However, international guidelines have suggested that posterior mesh placement results in advantageous biomechanics and reduced risk of nerve-related chronic pain. Additionally, the use of local anesthetics has been shown to reduce postoperative pain and complication risks. Read More

Hernia 2023 Aug 7. Epub 2023 Aug 7.

The Institute for Reconstructive Surgery, Houston Methodist Hospital, Weill Cornell Medicine, 6560 Fannin, Suite 2200, Scurlock Tower, Houston, TX, 77030, USA.

Introduction: Post-inguinal pain after a hernia surgery is prevalent and can be quite frustrating for the surgeon and patient alike. There are several sources for possible post-operative inguinal pain after a successful hernia repair; however, in the setting where a recurrent inguinal hernia is not present, it is likely related to the nerves in the inguinal canal or pelvis. Chronic inguinal groin pain after hernia repairs have been reported in a high percentage of patients following inguinal hernia surgery despite being one of the most common procedures performed annually in the USA and worldwide. Read More

J Laparoendosc Adv Surg Tech A 2023 Aug 3. Epub 2023 Aug 3.

Department of General Surgery, Uskudar University Faculty of Medicine, Memorial Hospital, Istanbul, Turkey.

Surgical repair of inguinal hernia is among the most commonly performed surgical interventions in general surgery clinics, with minimal postoperative complications, less pain, and maximum cosmetic results. The aim of this study is to compare the outcomes of patients who underwent Lichtenstein repair (LR), which is currently the most commonly used open surgical procedure to repair inguinal hernias, and laparoscopic totally extraperitoneal (TEP) repair with regard to postoperative cosmesis, patient satisfaction, pain, and inflammatory response. The study consisted of male patients 18-65 years of age, who were operated for inguinal hernia with two different methods between February 2022 and January 2023 in the general surgery clinic of Elazig Fethi Sekin City Hospital. Read More

Int J Surg Case Rep 2023 Aug 29;109:108590. Epub 2023 Jul 29.

Magister Clinical Medicine Program, Faculty of Medicine, Universitas Airlangga, Jl. Mayjen Prof. Dr. Moestopo 47, Surabaya 60132, Indonesia.

Introduction: A neuroma can occur after the inguinal nerve is injured by accident during the inguinal repair surgery. The neuroma, formed at the tip of the proximal site of the transected inguinal nerve, promotes the growth of neuroma fascicles and causes a painful/tingling sensation if tapped or pressed on the inguinal area.

Presentation Of Case: To decrease the neuropathic pain caused by accidental transection of the inguinal nerve, the proximal stump of the transected inguinal nerve is implanted into the subcutan fat tissue in the inguinal area through a different opening away from the incision of the external oblique aponeurosis. Read More

Hernia 2023 Aug 1. Epub 2023 Aug 1.

Department of General Surgery, Shaanxi Provincial People's Hospital, Xi'an, China.

Purpose: Open tension-free inguinal hernioplasty is one of the common surgical methods used today to treat inguinal hernias due to its simplicity and low recurrence rate. With the widespread use of tension-free inguinal hernia repair, the number of patients with mesh infections is gradually increasing. However, there is a lack of studies assessing the quality of life of patients after the removal of late-onset infected meshes in open inguinal hernias. Read More

Lancet Reg Health Am 2023 Aug 17;24:100556. Epub 2023 Jul 17.

Program in Global Surgery and Social Change, Harvard Medical School, Boston, MA, USA.

Background: Laparoscopic surgery remains limited in low-resource settings. We aimed to examine its use in Mexico and determine associated factors.

Methods: By querying open-source databases, we conducted a nationwide retrospective analysis of three common surgical procedures (i. Read More

Cureus 2023 Jun 29;15(6):e41151. Epub 2023 Jun 29.

Surgery, Dr L H Hiranandani Hospital, Mumbai, IND.

Background Recently, laparoscopic totally extraperitoneal (TEP) inguinal hernia repair has been considered one of the most effective and widely performed techniques for repairing inguinal hernias by avoiding entry into the peritoneal cavity. Its indications have evolved and expanded to almost encompass the entire range of groin hernias. This retrospective study aims to determine the outcomes and postoperative complications in patients undergoing TEP inguinal hernia repair performed by a single surgeon for groin hernias at a single center. Read More

BMC Surg 2023 Jul 28;23(1):212. Epub 2023 Jul 28.

Department of General Surgery, Sesto San Giovanni Hospital, Viale Matteotti, 83, Milan, MI, 20099, Italy.

Purpose: Groin hernias are a common condition that can be treated with various surgical techniques, including open surgery and laparoscopic approaches. Laparoscopic surgery has several advantages but its use is limited due to the complexity of the posterior inguinal region and the need for advanced laparoscopic skills. This paper presents a standardized and systematic approach to trans-abdominal pre-peritoneal (TAPP) groin hernioplasty, which is useful for training young surgeons. Read More

Int J Surg Case Rep 2023 Aug 1;109:108446. Epub 2023 Jul 1.

Faculty of Medicine, Pelita Harapan University, Tangerang, Indonesia.

Introduction And Importance: Inguinal bladder hernia (IBH) accounts for <5 % of inguinal hernias. As to our knowledge, this is the first case report of a rare intraperitoneal IBH in Indonesia.

Case Report: Here we present a case report of a 58-year-old Indonesian male complaining of a groin mass on the right side since 1 year ago, accompanied by lower urinary tract symptoms (LUTS), two-stage micturition, lower abdominal discomfort and pain during urinating and coughing. Read More

J Pak Med Assoc 2023 Apr;73(Suppl 4)(4):S61-S66

Department of General Surgery Tanta University,Egypt.

Objectives: To evaluate the short-term outcome of the needlescopic hernia sac disconnection and peritoneal closure in the treatment of primary paediatric inguinal hernia.

Method: The prospective study was conducted from April 2019 to April 2021 at the Paediatric Surgery Unit of the General Surgery Department at Kafrelsheikh University Hospital, Egypt, and comprised patients aged 6-144 months having uncomplicated paediatric inguinal hernia. The patients were subjected to needlescopic hernia sac disconnection and peritoneal closure. Read More