inguinal hernia

Inguinal hernia

It is a pathological protrusion of the peritoneum through the inguinal canal (obliquely through the abdominal wall above inguinal ligament). The inguinal canal has two mouth (inside - deep inguinal ring, external - superficial inguinal ring) and four constraints (front - aponeurosis of the external oblique muscle; back - peritoneum and transverse fascia; lower - the inguinal ligament; upper - the internal oblique muscle and transverse abdominal , these muscles fascia.


a) oblique inguinal hernia - congenital or acquired. Passes through the inguinal canal penetrating through the deep inguinal ring and finding mouth through the superficial inguinal ring. Further developments were reflected in the distribution of incomplete hernias (does not go beyond the superficial inguinal ring), complete (those that left superficial inguinal ring), scrotal (find an mouth in the scrotum), labial (in the area of labia majora), slides (organ partly intraperitoneally - pulled with peritoneum to the hernia sac).

b) simple inguinal hernia – it is acquired hernia. It penetrates medial inguinal bottom, which is a hernia's gate. It is limited by lower epigastrical vessels and lateral umbilical fold. Mouth is located just under the skin, near the inguinal ligament.
Diagnostics - a physical examination can sometimes feel hernias by examination of the scrotum (putting a finger into the inguinal canal) and requiring the patient to cough. Ultrasound is also helpful.
Symptoms - they depend on the severity of the hernia. It may be asymptomatic. Some of the popular symptoms include burning, pain in the inguinal area (especially during defecation and cough) and visible protrusion.


All of the inguinal hernia is an indication for surgery (in case of entrapment - immediately). Operations can be divided into several types:

a) classic operations with the use of their own tissues. They rely on dissection of the hernia sac, the intersection, and the escorting contents and ligation and cutting off of its residues. It is necessary to repair the posterior wall of the inguinal canal (it can be done several methods - Bassini, Halsted, Shouldice).

b) Treatment with the use of plastics - mesh reinforcing the posterior wall of the inguinal canal (Lichtenstein); cork closing hernia's gate. (Rutkow method), two meshes connected by a hyphen (Prolen hernia system).

c) laparoscopic operations - a lower frequency of relapses.

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Left Inguinal Hernia - Laparoscopic Trans-Abdominal...

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Surgical video case: laparoscopic plate repair of a left inguinal hernia, trans-abdominal pre-peritoneal approach.  

Four Times Recurrence Inguinal Hernia. Succesful...

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We show a case of recurrent hernia treated four times with anterior open approach. Laparoscopic repair was the option and was succesful done. 

TAPP Inguinal Hernia Repair by Ipsilateral Port

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This surgery demonstrates TAPP Inguinal Hernia Repair by Ipsilateral Port by Dr. R.K. Mishra at World Laparoscop[y hospital. Inguinal hernia repair is one of the most common procedures performed around...

Inguinal Hernia Surgery (TAPP for Indirect Inguinal...

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This video demonstrates laparoscopic inguinal hernia repair by Dr. R K Mishra at World Laparoscopy Hospital.  Laparoscopic inguinal hernia repair has got comparable results in comparison to open...

New Anatomical Concept for Lap Inguinal Hernia...

Hung Do

Specialty:  General Surgery
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This video shows a new anatomical concept for lap inguinal hernia repair.  

Laparoscopic Bilateral Inguinal TEP Mesh Hernioplasty

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This video shows ;aparoscopic bilateral inguinal mesh hernioplasty done by total extraperitoneal approach done by Prof. P. K. Reddy. Video edited and uploaded by Dr. Himanshu Shekhar, fellow in minimal...

Laparoscopic Inguinal Hernia Repair, TAPP

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Video demonstration of laparoscopic inguinal hernia repair.

Amyand's Hernia 4K

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We discover and treat an Amyand's Hernia during a TEPP repair of a left inguinal hernia. The surgery is depicted and Amyand's Hernia is discussed.

TAPP Herniorrhaphy in Recurrent Right Inguinal...

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For patients with recurrent inguinal hernia, or bilateral inguinal hernia, or for women, laparoscopic repair offers significant advantages over open techniques with regard to recurrence risk, pain, and...

Laparoscopic Repair of Inguinal Hernia: TAPP....

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Inguinal Hernia is a very common disease that need a definite surgical intervention. Open surgery is a conventional approach. Laparoscopic hernia repair in expert hands has advantages over the open technique...

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