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Inguinal Hernia

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  • Inguinal hernia

    An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. 

  • Inguinal hernia

    In this procedure, also called an open hernia repair, the surgeon makes an incision in your groin and pushes the protruding omentum or intestine back into your abdomen. The surgeon then sews together the weakened or torn muscle. The weak area often is reinforced and supported with a synthetic mesh (hernioplasty).Most people who have laparoscopic repair experience less discomfort and scarring aftersurgery and a quicker return to normal activities. Laparoscopy may be a good choice for people whose hernias recur after traditional hernia surgery because it allows the surgeon to avoid scar tissue from the earlier repair.

  • Inguinal hernia

    Previous research has shown that the repair of a recurrent inguinal hernia is subject to a greater risk of additional recurrence. Further, bilateral inguinal hernia is subject to a greater recurrence risk than unilateral inguinal hernia. These increased risks may be due to certain anatomical difficulties that complicate the surgical approach in these types of patients. Some clinicians have suggested that laparoscopic approaches are better suited to recurrent and bilateral hernias, and in we delineate separate comparisons for primary, bilateral, and recurrent hernia.

  • Inguinal hernia

    A systematic search will be performed using PubMed, EMBASE, the Cochrane Central Register of Controlled Trials (CENTRAL), Chinese Biomedical Literature Database (CBM) and Chinese Journal Full-text Database, to include RCTs of different mesh fixation methods (or fixation vs no fixation) during open inguinal hernia repair. The risk of bias in included RCTs will be evaluated according to the Cochrane Handbook V.5.1.0. Standard pairwise meta-analysis, trial sequential analysis and Bayesian network meta-analysis will be performed to compare the efficacy of different mesh fixation methods.

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