Inguinal Hernia: A New (Not Anatomical) Classification
Journal of Surgery
Volume 7, Issue 3, June 2019, Pages: 74-77
Received: Apr. 26, 2019;
Accepted: May 31, 2019;
Published: Jun. 24, 2019
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Alloni Rossana, General Surgery Department, Campus Bio-Medico University of Rome, Rome, Italy
Luffarelli Paolo, General Surgery Department, Campus Bio-Medico University of Rome, Rome, Italy
Mallozzi S. Maria Francesco, General Surgery Department, Campus Bio-Medico University of Rome, Rome, Italy
Santoni Simone, General Surgery Department, Campus Bio-Medico University of Rome, Rome, Italy
Lichinchi Domenico Ernesto, Health Management Department, Campus Bio-Medico University of Rome, Rome, Italy
Vitali Massimiliano Andrea, Health Management Department, Campus Bio-Medico University of Rome, Rome, Italy
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Inguinal hernia is one of the most frequently found surgical problems, accounting for about 70-75 per cent of all hernia operations. Inguinal hernia represents a social disease, with considerable management costs. All classifications of inguinal hernia have something of arbitrary and artificial, and unfortunately are based on anatomic and functional criteria. Moreover, single hernia defect can be classified only during the operation and not in a preoperative setting. The aim of this study has been to evaluate the operative times and consequently identify factors that affect the surgical time. In this way we hope to create a new classification useful to standardize the operative time management. From February 2012 to June 2013, in the Day Surgery Unit of Campus Bio-Medico University of Rome, 110 consecutive patients were enrolled which underwent to inguinal hernioplasty, and they have been observed by the same surgical team. We evaluated clinical parameters (age, sex, BMI, hernia size defect, reducibility, primitive or recurrent hernia, previous hernia surgery) and compared them with surgical times. Data analysis shows a statistically significant relationship between reducibility, recurrent hernia, male gender, BMI and surgical times. This study confirms that an optimal clinical patient evaluation should always be the first step to an effective organizational choice and it allows realistic predictions about the duration of inguinal hernioplasty.
Inguinal Hernia, Surgical Time, Classification
To cite this article
Mallozzi S. Maria Francesco,
Lichinchi Domenico Ernesto,
Vitali Massimiliano Andrea,
Inguinal Hernia: A New (Not Anatomical) Classification, Journal of Surgery.
Vol. 7, No. 3,
2019, pp. 74-77.
Copyright © 2019 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Dabbas N, Adams K, Pearson K, Royle G. Frequency of abdominal wall hernias: is classical teaching out of date? JRSM Short Rep 2011; 2: 5.
The HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018 Feb; 22 (1): 1-165.
Fitzgibbons RJ, Forse RA. Groin hernias in adults. N Engl J Med 2015; 372: 756-763.
Jenkins JT et al. Inguinal hernias. BMJ. 2008 Feb 2; 336 (7638): 269-272.
Kingsnorth A, LeBlanc K. Hernias: inguinal and incisional. Lancet. 2003 Nov 8; 362 (9395): 1561-71.
AHRQ Pub. No. 12-EHC091-1 August 2012; Ambulatory Surgery Data From Hospitals and Ambulatory Surgery Centers: United States, 2010 - National Health Statistics Reports Number 102 February 28, 2017.
Bay-Nielsen M, Kehlet H, Strand L, Malmstrom J, Andersen FH, Wara P, Juul P, Calleseen T. Quality assessment of 26, 304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet. 2001 Oct 6; 358 (9288): 1124-8.
Huerta S, Timmerman C, Argo M, Favela J, Pham T, Kukreja S, Yan J, Zhu H. Open, Laparoscopic, and Robotic Inguinal Hernia Repair: Outcomes and Predictors of Complications. J Surg Res. 2019 Apr 22; 241: 119-127.
Marcy H. A new use of carbolized cat gut ligature. Boston Med Surg J. 1871; 85: 315-316.
Amid PK, Shulman AG, Lichtenstein IL. Open "tension-free" repair of inguinal hernias: the Lichtenstein technique. Eur J Surg. 1996; 162: 447-453.
Lichtenstein IL, Shulman AG, Amid PK, et al. The tension-free hernioplasty. Am J Surg. 1989; 157: 188-193.
Cooper A. The Anatomy and Surgical Treatment of Abdominal Hernia. London: Longman and Co.; 1804.
Lichtenstein IL. Herniorrhaphy: a personal experience with 6321 cases. Am J Surg 1987; 153: 553-559.
Zollinger RM Jr. A unified classification for inguinal hernias. Hernia 1999; 3: 195-200.
Zollinger RM Jr. Classification of ventral and groin hernias. In: Fitzgibbons RJ Jr, Greenburg AG, editors. Nyhus and Condon’s hernia. 5th edition. Philadelphia: Lippincott Williams & Wilkins; 2002. p. 71-79.
Matthews RD and Neumayer L. Inguinal hernia in the 21st century: an evidence-based review. Curr Probl Surg 2008; 45 (4): 261-312.
Stepaniak PS et al. Working with a fixed operating room team on consecutive similar cases and the effect on case duration and turnover time. Arch Surg. 2010; 145 (12): 1165-1170.
Friedman DM et al. Increasing operating room efficiency through parallel processing. Ann Surg. 2006; 243 (1): 10-14.