Súčasné štandardy chirurgickej liečby slabinových prietrží. Druhá časť // SOLEN

Slovenská chirurgia 2/2018

Súčasné štandardy chirurgickej liečby slabinových prietrží. Druhá časť

Current standards of surgical treatment of inguinal hernias. Part two

Inguinal hernia is one of the most common, surgically treated pathologies. Today, large variations in treatments result from cultural differences amongst surgeons, different reimbursement systems and differences in resources and logistical capabilities. With intention of securing the best possible clinical outcome, several guidelines exist. These guidelines were published by various surgical societies, containing hundreds of pages of content. Intentions of the authors was to synthetize current guidelines and present them in a clear and simple fashion in order for the easy implementation in practice. Regarding the extent of an article, it was divided into two parts. Second part addresses occult hernias, place of day surgery in hernia surgery, types, characteristics and usage of meshes, fixation of meshes, antibiotic prophylaxis, anesthesia, postoperative complications including chronic pain, convalescence, groin hernia in female, femoral hernia, recurrent hernia, and emergency treatment of groin hernia.

Keywords: inguinal hernia, recommendations, endoscopy, TAPP, TEP, complications