Full-text resources of PSJD and other databases are now available in the new Library of Science.
Visit https://bibliotekanauki.pl


Preferences help
enabled [disable] Abstract
Number of results
2009 | 81 | 5 | 236-241

Article title

Anatomopathologic Analysis of Synchronically Operated Bilateral Inguinal Hernias


Title variants

Languages of publication



The aim of the study was statistic evaluation of anatomopathologic changes of synchoperated groin hernias.Material and methods. In 1994-2005, 2099 patients were operated due to inguinal hernias. 1343 times the operation was conducted unilaterally, 756 (36.2%) bilaterally (1512 hernias). Patients were divided into three age groups: A ≤ 45 years of age, B - 46-64 years of age and C ≥ 65 years of age.Results. Among those operated bilaterally and synchronically the most frequent were lateral hernias, constituting from 57.2% to 69.8%, medial from 21.41% to 28.4%, combined from 8.81% to 14.52% of all operated hernias in all age groups. Hernias size I (<1.5 cm) constituted among bilateral hernias 29.66% of cases in age group A and 15% in age group C. For unilateral hernias the numbers were respectively 32.95% and 8.32%. Hernias size III (>3 cm) made up for bilateral hernias 26.14% of cases in age A, for unilateral hernias that was 18.9%. In age group C the figures were respectively 47.05% and 47.54%. Hernias size II in all age groups constituted from 37.95% to 48.15% of all cases. Recurrent hernias constituted 8.46% of operated bilateral hernias (128 cases). Among unilateral hernias, 124 recurrent cases were operated (9.23%). Femoral hernias coexisted among 25 men (1.75%) and 10 women (11.9%) operated bilaterally and among 41 patients operated unilaterally (3.05%).Conclusions. In case of bilateral hernias there was no correlation found between coexistence of femoral hernia and age of patients; among men they were mainly left, and in case of women - right side cases. Among unilaterally operated patients the coexistence of femoral hernia was observed more frequently in the elderly group, among women mostly on the right side.








Physical description


1 - 5 - 2009
8 - 9 - 2009


  • Hannover Department of General and Visceral Surgery, Grossburgwedel Hospital, Teaching Hospital of Medical University


  • Miserez M, Alexandre J, Campanelli G, et al.: The European hernia society groin hernia classifcation: simple and easy to remember. Hernia 2007; 11: 113-16.[WoS]
  • Ścierski A: Operacje przepuklin pachwinowych z dostępu przedotrzewnowego. W: Kostewicz W (red.) Chirurgia laparoskopowa. Wyd. 1. PZWL, Warszawa 2002; s. 264-82.
  • Ścierski A, Roechte F: Przydatność badń ultrasonograficznych w diagnostyce przepuklin pachwinowych. Wideochirurgia; 2007; 2(6); 58-65.
  • Keith A: On the origin and nature of hernia. Br J Surg 1923; 11: 455.
  • Abramson JH, Gofin J, Hoop, et al.: The epidemiology of inguinal hernia: A survey in West Jerusalem. J Epidemiol Comm Health 1978; 32: 59-67.
  • Ärztekammer Westfalen Lippe - Qualitätssicherung Chirurgie. Statistik für die Diagnose: Leistenhernie 1999. Nieopublikowany dokument.
  • Kald A, Fridsten S, Nordin P, et al.: Outcome of repair of bilateral groin hernias: a prospective evaluation of 1,487 patients. Eur J Surg 2002; 168: 150-53.
  • AufenackerTJ, de Lange DH, Burg MD, et al.: Hernia surgery changes in the Amsterdam region 1994 2001: Decrease in operations for recurrent hernia. Hernia 2005; 9: 46-50.
  • Velanovitch V, Shadduck P, Khaitan L, et al.: Analysis of the SAGES Outcomes Initiative groin hernia database. Surg Endosc 2006 20; 191-98.[Crossref]
  • Brunocilla E, Vece E, Lupo S: Preperitoneal prosthetic mesh hernioplasty for the simultaneous repair of inguinal hernia during prostatic surgery: experience with 172 patients. Urol Int 2005; 75: 38-42.
  • Misra M, Bansal V, Kuma S i wsp Total extraperitoneal repair of groin hernia: prospective evaluation at a tertiary care center. Hernia 2008 (w druku).[WoS]
  • Kald A, Domeij E, Landin S: Laparoscopic hernia repair in patients with bilateral groin hernias. J Surg 2000; 166: 210-21.
  • Serpell JW, Johnson CD, Jarrett PE: A prospective study of bilateral inguinal hernia repair. Ann R Coll Surg Engl 1990; 72: 299-303.
  • Miller AR, van Heerden JA, Naessens JM: Simultaneous Bilateral Hernia Repair. Ann Surg 1991; 213: 272-76.
  • Amid PK, Shulman AG, Lichtenstein IL: Simultaneous repair of bilateral inguinal hernia uner local anesthesia. Ann Surg 1996; 223: 249-52.
  • Connor WT, Peacock EE: The etiology of inguinal hernia. Surg Forum 1971; 22: 69-71.
  • Ponka H. (ed): Hernias of the Abdominal Wall. Philadelphia, WB SSaunders 1980, p. 83-88.
  • Bendavid R: Femoral pseudo-hernias. Hernia 2002; 6: 141-43.[PubMed][Crossref]
  • Waddington RT: Femoral hernia: a recent repraisal. Br J Surg 1971; 58; 920-22.
  • Maingot R: The choice of operation for femoral hernia, with special reference to McVay's technique. Br J Clin Pract 1968; 22: 323-29.
  • Felix EL, Michas CA, González MH: Laparoscopic hernioplasty: Why does it work? Surg Endosc 1997; 11: 36-41.
  • Welsh DR, Alexander MA: The Shouldice repair. Surg Clin N Am 1993; 73: 451-61.
  • Sandblom G, Haapaniemi S, Nilsson E: Femoral hernias: a register analysis of 588 repairs. Hernia 1999; 3: 131-34.
  • Glassow F:. Femoral hernia. Review of 2105 repairs in a 17 year period. Am J Surg 1985; 150: 353-56.
  • Sandblom G, Haapaniemi S, Nilsson E: Femoral hernias: a register analysis of 588 repairs. Hernia 1999; 3: 131-34.
  • Berliner SD: The femoral cone and its clinical implications. Surg Gynecol Obstet 1990; 171: 111-14.
  • Glassow F: Femoral hernia. Review of 2105 repairs in a 17 year period. Am J Surg 1985; 150: 353-56.
  • Mikkelsen T, Bay-Nielsen M, Kehler H: Risk of femoral hernia after inguinal herniorrhaphy. Br J Surg 2002; 89: 486-88.
  • Ścierski A, Roechte F: Changes of important anatomical structures in the inguinal region after herniorrhaphy: observations during treatment of recurrent hernia using TEP. Wideochirurgia 2007; 2(1): 13-17.

Document Type

Publication order reference


YADDA identifier

JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.