Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Inguinal hernias (IH) are widespread in the human population and occur in 27–43 % of men and 3–6 % of women. Many risk factors for IH have been overestimated in the last decade: male gender is considered the leading factor (the ratio between men and women is approximately 1:7), less significant fact...

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Autores principales: O. V. Oorzhak, S. Y. Shost, V. G. Mozes, K. B. Mozes, V. V. Pavlenko
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Lenguaje:RU
Publicado: Scientific Сentre for Family Health and Human Reproduction Problems 2021
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Acceso en línea:https://doaj.org/article/a049207760b54123a4d06da5361301a8
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spelling oai:doaj.org-article:a049207760b54123a4d06da5361301a82021-11-23T06:14:46ZInguinal hernia – epidemiology, risk factors, treatment methods (literature review)2541-94202587-959610.29413/ABS.2021-6.4.21https://doaj.org/article/a049207760b54123a4d06da5361301a82021-10-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2994https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596Inguinal hernias (IH) are widespread in the human population and occur in 27–43 % of men and 3–6 % of women. Many risk factors for IH have been overestimated in the last decade: male gender is considered the leading factor (the ratio between men and women is approximately 1:7), less significant factors are heredity (most significant for women), physical activity (more significant for men), age (peak prevalence of IH occurs at 5 years and 70–80 years), congenital or acquired connective tissue dysplasia, history of prostatectomy, low body mass index.Hernioplasty with the use of synthetic mesh prostheses remains the most popular technique for surgical correction of IH. Performing non-prosthetic hernioplasty is only recommended if mesh prostheses are not available, for example in poor countries. In open hernioplasty using mesh prostheses, different methods are used today: Plug & Patch, Prolene Hernia System, Parietene Progrip, sutureless plastic according to Trabucco, Stoppa, preperitoneal techniques TIPP (trans-inguinal pre-peritoneal), TREPP (transrectus pre-peritoneal), TEP (total extraperitoneal), however, none of them showed significant advantages over the gold standard of open hernioplasty – tensionfree repair according to Liechtenstein.Laparoscopic IH correction is represented by the TAPP (transabdominal preperitoneal) technique, performed through the abdominal cavity, and TEP (total extraperitoneal) – extraperitoneal prosthetic hernioplasty. None of them has a significant advantage in the treatment of IH; therefore, when choosing a treatment method, the surgeon should be guided by the cost of the operation and the level of proficiency in one or another hernioplasty technique.O. V. OorzhakS. Y. ShostV. G. MozesK. B. MozesV. V. PavlenkoScientific Сentre for Family Health and Human Reproduction Problemsarticleherniainguinalhernioplastysurgical meshsurgical fixation devicesrisk factorslaparoscopyScienceQRUActa Biomedica Scientifica, Vol 6, Iss 4, Pp 230-242 (2021)
institution DOAJ
collection DOAJ
language RU
topic hernia
inguinal
hernioplasty
surgical mesh
surgical fixation devices
risk factors
laparoscopy
Science
Q
spellingShingle hernia
inguinal
hernioplasty
surgical mesh
surgical fixation devices
risk factors
laparoscopy
Science
Q
O. V. Oorzhak
S. Y. Shost
V. G. Mozes
K. B. Mozes
V. V. Pavlenko
Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)
description Inguinal hernias (IH) are widespread in the human population and occur in 27–43 % of men and 3–6 % of women. Many risk factors for IH have been overestimated in the last decade: male gender is considered the leading factor (the ratio between men and women is approximately 1:7), less significant factors are heredity (most significant for women), physical activity (more significant for men), age (peak prevalence of IH occurs at 5 years and 70–80 years), congenital or acquired connective tissue dysplasia, history of prostatectomy, low body mass index.Hernioplasty with the use of synthetic mesh prostheses remains the most popular technique for surgical correction of IH. Performing non-prosthetic hernioplasty is only recommended if mesh prostheses are not available, for example in poor countries. In open hernioplasty using mesh prostheses, different methods are used today: Plug & Patch, Prolene Hernia System, Parietene Progrip, sutureless plastic according to Trabucco, Stoppa, preperitoneal techniques TIPP (trans-inguinal pre-peritoneal), TREPP (transrectus pre-peritoneal), TEP (total extraperitoneal), however, none of them showed significant advantages over the gold standard of open hernioplasty – tensionfree repair according to Liechtenstein.Laparoscopic IH correction is represented by the TAPP (transabdominal preperitoneal) technique, performed through the abdominal cavity, and TEP (total extraperitoneal) – extraperitoneal prosthetic hernioplasty. None of them has a significant advantage in the treatment of IH; therefore, when choosing a treatment method, the surgeon should be guided by the cost of the operation and the level of proficiency in one or another hernioplasty technique.
format article
author O. V. Oorzhak
S. Y. Shost
V. G. Mozes
K. B. Mozes
V. V. Pavlenko
author_facet O. V. Oorzhak
S. Y. Shost
V. G. Mozes
K. B. Mozes
V. V. Pavlenko
author_sort O. V. Oorzhak
title Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)
title_short Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)
title_full Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)
title_fullStr Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)
title_full_unstemmed Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)
title_sort inguinal hernia – epidemiology, risk factors, treatment methods (literature review)
publisher Scientific Сentre for Family Health and Human Reproduction Problems
publishDate 2021
url https://doaj.org/article/a049207760b54123a4d06da5361301a8
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AT syshost inguinalherniaepidemiologyriskfactorstreatmentmethodsliteraturereview
AT vgmozes inguinalherniaepidemiologyriskfactorstreatmentmethodsliteraturereview
AT kbmozes inguinalherniaepidemiologyriskfactorstreatmentmethodsliteraturereview
AT vvpavlenko inguinalherniaepidemiologyriskfactorstreatmentmethodsliteraturereview
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