Findings that occur with swelling, lumps, swellings that can be painful from the inguinal regions of women and men, and the intra-abdominal membrane that can go down to the testicles, which we call the sycrotum, especially in men, are called hernia. There are many causes and types of inguinal hernias. Here, we will provide information about what people with inguinal hernia should do and current surgical techniques, rather than why it is caused. Inguinal hernias are 3 to 5 times more common in men than in women. The most common types in the groin are;
– Indirect hernias
– Direct hernias
– Direct – indirect hernias
– Femoral hernias
– Opturatory hernias
There are many surgical techniques in inguinal hernias. With the surgeries performed since the 1900s and the new techniques performed today, the possibilities of intervention and improvement in hernias have been revealed.
ancient techniques;
– Bassini
– Shouldaize
– Techniques like Marcey. They are still used today. In new techniques in hernia surgeries, a braided scalpel made of propropylene, which we call patch (mesh), is used to strengthen the inguinal region. The surgical technique varies according to the classification and grade of inguinal hernias. Considering the degree of hernia and the suitability of the patient; hernia operations are performed open and laparoscopic (closed). The basic logic is the intervention of the ruptured area in the hernia. In open and closed technique, suitable meshes are used according to the condition of the disease. Now I will talk about hernia surgeries and closed (laparoscopic) surgery. Open hernia surgeries;
– Shouldayz operation
– Bassini
– Marcey
– Stoppa
– Kugel
– Rutkouw
– Like Lichtenshtein hernia repair.
Closed hernia surgeries are;
– Tapp
– They are surgeries like Tepp.
Laparoscopic hernia surgeries are commonly performed by us in our hospital. In closed hernia surgeries, if the patient is suitable according to the advantage and disadvantage index, the advantages become much more convenient. Advantages in patients suitable for closed hernia surgery;
– Healing in a short time
– More comfortable and perfect surgery
– Better aesthetically
– It’s like hernia regeneration is very, very rare.
Disadvantages of patients who will undergo surgery;
– Inconvenience in general anesthesia
– Increased risk of bleeding due to blood thinners
– Depending on the technique of the procedure, there are risks such as intestinal organ injury.
If closed hernia surgeries are performed by an experienced physician, and the general condition of the patient is suitable for this surgery, it is the surgery that can be applied in the first choice. Of course, in addition to this surgical team, the general condition of the patient for laparoscopic surgery is one of the preferences where the risk of anesthesia is much less.
