Hori T, Yasukawa D. Fascinating history of groin hernias: Comprehensive recognition of anatomy, classic considerations for herniorrhaphy, and current controversies in hernioplasty. World J Methodol 2021; 11(4): 160-186 [PMID: 34322367 DOI: 10.5662/wjm.v11.i4.160]
Corresponding Author of This Article
Tomohide Hori, FACS, MD, PhD, Academic Fellow, Attending Doctor, Director, Surgeon, Department of Surgery, Shiga General Hospital, 5-4-30 Moriyama, Moriyama 524-8524, Shiga, Japan. horitomo55office@yahoo.co.jp
Research Domain of This Article
Surgery
Article-Type of This Article
Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Methodol. Jul 20, 2021; 11(4): 160-186 Published online Jul 20, 2021. doi: 10.5662/wjm.v11.i4.160
Fascinating history of groin hernias: Comprehensive recognition of anatomy, classic considerations for herniorrhaphy, and current controversies in hernioplasty
Tomohide Hori, Daiki Yasukawa
Tomohide Hori, Department of Surgery, Shiga General Hospital, Moriyama 524-8524, Shiga, Japan
Daiki Yasukawa, Department of Surgery, Shiga University of Medical Science, Otsu 520-2192, Japan
Author contributions: Hori T and Yasukawa D wrote this review; historical turning points was investigated by Hori T; Yasukawa D originally drew all illustrations and schemas; Hori T and Yasukawa D assessed important papers; Hori T supervised this review; Hori T and Yasukawa D contributed equally to this work.
Conflict-of-interest statement: None of the authors has a potential conflict of interest.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tomohide Hori, FACS, MD, PhD, Academic Fellow, Attending Doctor, Director, Surgeon, Department of Surgery, Shiga General Hospital, 5-4-30 Moriyama, Moriyama 524-8524, Shiga, Japan. horitomo55office@yahoo.co.jp
Received: March 13, 2021 Peer-review started: March 13, 2021 First decision: March 31, 2021 Revised: April 2, 2021 Accepted: May 15, 2021 Article in press: May 15, 2021 Published online: July 20, 2021
Abstract
Groin hernias include indirect inguinal, direct inguinal, femoral, obturator, and supravesical hernias. Here, we summarize historical turning points, anatomical recognition and surgical repairs. Groin hernias have a fascinating history in the fields of anatomy and surgery. The concept of tension-free repair is generally accepted among clinicians. Surgical repair with mesh is categorized as hernioplasty, while classic repair without mesh is considered herniorrhaphy. Although various surgical approaches have been developed, the surgical technique should be carefully chosen for each patient. Regarding as interesting history, crucial anatomy and important surgeries in the field of groin hernia, we here summarized them in detail, respectively. Points of debate are also reviewed; important points are shown using illustrations and schemas. We hope this systematic review is surgical guide for general surgeons including residents. Both a skillful technique and anatomical knowledge are indispensable for successful hernia surgery in the groin.
Core Tip: Groin hernias include indirect inguinal, direct inguinal, femoral, obturator, and supravesical hernias. Groin hernias have a fascinating history in the fields of anatomy and surgery, and the concept of tension-free repair is generally accepted among clinicians. Although various surgical approaches have been developed, the surgical technique should be carefully chosen for each patient. Surgical repair with mesh is categorized as hernioplasty, while classic repair without mesh is considered herniorrhaphy. Points of debate are also reviewed; important points are shown using illustrations and schemas. Overall, both a skillful technique and anatomical knowledge are indispensable for successful hernia surgery in the groin.
