Erschienen in:
01.02.2010 | Original Article
Outcome of sliding inguinal hernia repair
verfasst von:
R. A. Adams, A. P. Wysocki
Erschienen in:
Hernia
|
Ausgabe 1/2010
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Abstract
Purpose
Sliding inguinal hernias represent a small proportion of inguinal hernias but become more common with advancing age. The most recent review is based on a series published over 50 years ago. There are, however, many case reports of unusual presentations in girls.
Methods
We performed a review of a prospectively kept electronic record of all operations performed at Logan Hospital since 2003 in order to document the clinical characteristics of sliding inguinal hernias in the twenty-first century.
Results
Thirty-one males underwent predominantly anterior repair of a sliding hernia after a median of 9 months of symptoms (2.9% of all hernia repairs—32/1,092). Approximately two-thirds of hernias were left sided. There were five minor and two technical complications. Follow-up ranged from 3 weeks to 3 years. Two recurrences have been repaired.
Conclusions
Sliding inguinal hernias continue to test the surgeon’s understanding of the inguinal canal’s anatomy and technical expertise with a significant rate of technical complications and recurrence.