need an inguinal herniotomy. How? In most situations the surgery is performed as an elective day-‐only operation. Sometimes emergency surgery is required if. Inguinal hernia is the most common surgical problem of childhood. It results from a small sac that comes through the inguinal ring that is normally open during. Department of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, Herlev, Denmark. Received 4 January ;.

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Open inguinal herniotomy: Analysis of variations

Herniotomies are one of the most common types of abdominal surgery. Inguinal hernias, femoral hernias, umbilical hernias or incisional hernias are usually the main reason for an operation. Surgical treatment consists of closing the hernia with a suture or covering it with a plastic net. Hernias are weaknesses or holes in the abdominal wall.

They form protrusions, or hernia sacs. Apart from ptocedure visible protrusion, they sometimes cause no further symptoms.

Inguinal herniotomy with the Mitchell-Banks’ technique is safe in older children.

However, there is a risk that the intestinal loops will become trapped in the hernia sac and cause severe complications in the process. Hernias should therefore always be treated surgically.

Depending on the location, a differentiation is made between inguinal hernias, femoral hernias and umbilical hernias. An inguinal hernia is the most common form. However, hernias can also occur in other places after earlier operations.

Such hernias are known as incisional hernias. Unlike those pricedure adults, hernias in small children are not always treated surgically. Sometimes, an incisional hernia recedes. A special type of hernia is the hiatus hernia, during which part of the stomach shifts into the abdomen through the diaphragm.


The treatment of the hiatus hernia is discussed in the chapter entitled reflux surgery. Hernias in the abdominal wall are usually diagnosed by palpating the area. Sometimes a further ultrasound is carried out to confirm the diagnosis. All the usual pre-operative assessments are required, such as a blood test, blood pressure measurement and an ECG. A hernia operation can be berniotomy out under general anaesthetic herniotojy with an epidural anaesthesia.

Patients must have an empty stomach for the procedure. Basically, there are two ways to close a hernia: Nowadays, the latter is preferred as the recurrence rate is lower than with a simple suture closure. The operation can be carried out as an open abdominal procedure or as a minimally invasive herinotomy with laparoscopy.

Hernia repair

Laparoscopy is generally less stressful on the patient, causes less postoperative pain and requires less recuperation. Many surgeons prefer it for this reason. During the laparoscopic surgical procedure, entrance is gained over the hernia either from the abdominal cavity by piercing the peritoneum transabdominal method or without piercing the peritoneum preperitoneal method. A laparoscope and surgical instruments are inserted over small incisions in the skin. Pricedure the surgical area with CO 2 enables a better view and provides more space for the procedure.

Firstly, the hernia sac with content is repositioned or pulled back redeposited. Then a plastic net is inserted between the abdominal muscles and the peritoneum.


During the transabdominal method, the plastic net has to be fixed to the abdominal wall. This herniotpmy not necessary for the preperitoneal method. Finally, the CO 2 is release and the skin incisions are sutured. Hernia operations have a high success rate. They can reoccur sometimes; however, thanks to the method of laying a plastic net, they have become a lot less frequent. Operations on hernias in the abdominal wall are routine procedures.

As with all surgery, the operation may occasionally lead to infections, nerve damage, post-operative haemorrhaging or growths. Temporary swelling of the testicles herniootomy occur after hernia operations, and in extremely rare cases, the spermatic cord in men can be injured.

Open inguinal herniotomy: Analysis of variations

Patients are usually required to stay in hospital for one to three days after a hernia operation. Sport and heavy physical work can usually be taken up again after two or three weeks without any limitations.

Herniotomy, hernia surgery Herniotomies are one of the most common types of abdominal surgery. What preparations are carried out before the procedure? How is the operation carried out?

What is the success rate of this procedure? What are the possible complications and risks of this procedure? What happens after the operation?

Centres 4 Centre for orthopaedic surgery Avenue d’Ouchy 31 Lausanne.