INGUINAL HERNIA /SPORTS HERNIA
In case of an inguinal hernia (swelling in the groin area), Dr.Hirides may suggest surgical repair, in order to avoid serious complications (strangulation, ie when an intestinal loop is trapped inside the hernia sac, its blood supply is blocked and eventually becomes necrotic). Also, because surgery is the only way to treat a hernia (no medication or other conservative measure helps).
Occasional use of an abdominal compression waist belt, not only does not fix the problem, but it may lead to injury of the intestinal loops, increasing probability of adhesion formation (tough, scar like tissue, which will make surgical repair more difficult and technically demanding)
Surgical repair of an inguinal hernia, is nowadays performed laparoscopically, ie through 3 small incisions in the abdominal wall (of a diameter 0.5-1cm), whilst classic (open) repair is still performed by a high number of surgeons, who either have not had the appropriate training in advanced laparoscopy, or in case a laparoscopic procedure is not feasible. Robotic repair of an inguinal hernia is an evolution of the laparoscopic techniques, and it most probably offers potential advantages in selected patients. Those advantages include: a three-dimensional view, high-definition stereoscopic image of the operative field, and a higher degree of motion freedom for the robotic instruments.
Athletes and specifically soccer players, consist a special category of patients who present with injuries in the inguinal area, due to tough training, ending up with chronic pain (athlete’s hernia-chronic inguinal pain-abdominal adductor syndrome). An athlete’s hernia presents with significant improvement following placement of a mesh in the area, whilst in many athlete’s cases true hernias can be found with defect in the abdominal muscles.
Read More : LAPAROSCOPIC/ ROBOTIC INGUINAL HERNIA REPAIR
Translation : Katerina Vassilopoulos (London, UK)