Open, Laparoscopic, and Robotic Approaches for Inguinal Hernia Repair: A Comprehensive Review
Introduction and Purpose Inguinal hernia is one of the most common surgical conditions, affecting 27% of men and 3% of women over a lifetime. The mainstay of treatment is surgical repair, which prevents complications such as strangulation and bowel obstruction. This study aims to provide a compr...
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Nicolaus Copernicus University in Toruń
2025-04-01
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| Series: | Quality in Sport |
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| Online Access: | https://apcz.umk.pl/QS/article/view/59482 |
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| author | Jakub Skiba Zuzanna Skiba Kinga Tylczyńska Natalia Tylczyńska Kinga Kowalik Maria Michalska Aleksandra Zielińska Szymon Szypulski Sebastian Iwaniuk Ignacy Maciejewski |
| author_facet | Jakub Skiba Zuzanna Skiba Kinga Tylczyńska Natalia Tylczyńska Kinga Kowalik Maria Michalska Aleksandra Zielińska Szymon Szypulski Sebastian Iwaniuk Ignacy Maciejewski |
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Introduction and Purpose
Inguinal hernia is one of the most common surgical conditions, affecting 27% of men and 3% of women over a lifetime. The mainstay of treatment is surgical repair, which prevents complications such as strangulation and bowel obstruction. This study aims to provide a comprehensive review of inguinal hernia pathophysiology, risk factors, diagnostic strategies, and treatment options, focusing on open, laparoscopic, and robotic repair techniques.
Description of State of Knowledge
The development of inguinal hernias is associated with connective tissue abnormalities, with studies showing an increased ratio of type III to type I collagen. Diagnosis relies primarily on clinical examination, with imaging techniques such as ultrasonography and MRI used in complex cases. Lichtenstein repair remains the standard open approach, offering low recurrence rates, while laparoscopic techniques (TAPP, TEP) are preferred for bilateral and recurrent hernias due to faster recovery and reduced chronic pain. Robotic-assisted repair provides enhanced precision and ergonomics, but current evidence shows no significant clinical advantage over laparoscopy, with higher costs and longer operative times.
Conclusions
Surgical repair is the gold standard for inguinal hernia treatment, with the choice of technique depending on patient factors, hernia characteristics, and surgical expertise. Lichtenstein repair remains the preferred open approach, while laparoscopic techniques (TAPP, TEP) are recommended for bilateral and recurrent cases due to their faster recovery and lower risk of chronic pain.
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| format | Article |
| id | doaj-art-b6a080bb8ccd4d1baf7b6bae88d3fdde |
| institution | OA Journals |
| issn | 2450-3118 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Nicolaus Copernicus University in Toruń |
| record_format | Article |
| series | Quality in Sport |
| spelling | doaj-art-b6a080bb8ccd4d1baf7b6bae88d3fdde2025-08-20T02:08:31ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-04-014010.12775/QS.2025.40.59482Open, Laparoscopic, and Robotic Approaches for Inguinal Hernia Repair: A Comprehensive ReviewJakub Skiba0https://orcid.org/0009-0002-2451-6477Zuzanna Skiba1https://orcid.org/0009-0001-7583-5868Kinga Tylczyńska2https://orcid.org/0009-0008-1820-3013Natalia Tylczyńska3https://orcid.org/0009-0002-8668-0272Kinga Kowalik4https://orcid.org/0009-0000-4894-6987Maria Michalska5https://orcid.org/0009-0004-7822-8299Aleksandra Zielińska6https://orcid.org/0009-0007-4791-9160Szymon Szypulski7https://orcid.org/0009-0008-7228-7086Sebastian Iwaniuk8https://orcid.org/0009-0000-9125-6172Ignacy Maciejewski9https://orcid.org/0000-0002-0424-9095Independent Public Health Care Facility in Koło, Księcia Józefa Poniatowskiego 25, 62-600 Koło, PolandMedical University of Warsaw, Żwirki i Wigury 61, 02-091 Warsaw, PolandCardinal Stefan Wyszynski University in Warsaw, Kazimierza Wóycickiego 1/3, 01-938 Warsaw, PolandCardinal Stefan Wyszynski University in Warsaw, Kazimierza Wóycickiego 1/3, 01-938 Warsaw, PolandWolski Hospital, Marcina Kasprzaka 17, 01-211 Warsaw, PolandWolski Hospital, Marcina Kasprzaka 17, 01-211 Warsaw, PolandPraski Hospital in Warsaw, al. „Solidarności” 67, 03-401 Warsaw, PolandInfant Jesus Teaching Hospital, Williama Heerleina Lindleya 4, 02-005 Warsaw, PolandUniversity Clinical Centre of the Medical University of Warsaw, ul. Banacha 1A, 02-097 Warsaw, Poland5th Military Clinical Hospital in Cracow, Wrocławska 1/3, 30-901 Cracow, Poland Introduction and Purpose Inguinal hernia is one of the most common surgical conditions, affecting 27% of men and 3% of women over a lifetime. The mainstay of treatment is surgical repair, which prevents complications such as strangulation and bowel obstruction. This study aims to provide a comprehensive review of inguinal hernia pathophysiology, risk factors, diagnostic strategies, and treatment options, focusing on open, laparoscopic, and robotic repair techniques. Description of State of Knowledge The development of inguinal hernias is associated with connective tissue abnormalities, with studies showing an increased ratio of type III to type I collagen. Diagnosis relies primarily on clinical examination, with imaging techniques such as ultrasonography and MRI used in complex cases. Lichtenstein repair remains the standard open approach, offering low recurrence rates, while laparoscopic techniques (TAPP, TEP) are preferred for bilateral and recurrent hernias due to faster recovery and reduced chronic pain. Robotic-assisted repair provides enhanced precision and ergonomics, but current evidence shows no significant clinical advantage over laparoscopy, with higher costs and longer operative times. Conclusions Surgical repair is the gold standard for inguinal hernia treatment, with the choice of technique depending on patient factors, hernia characteristics, and surgical expertise. Lichtenstein repair remains the preferred open approach, while laparoscopic techniques (TAPP, TEP) are recommended for bilateral and recurrent cases due to their faster recovery and lower risk of chronic pain. https://apcz.umk.pl/QS/article/view/59482Inguinal hernialaparoscopic hernia repairrobotic hernia repair |
| spellingShingle | Jakub Skiba Zuzanna Skiba Kinga Tylczyńska Natalia Tylczyńska Kinga Kowalik Maria Michalska Aleksandra Zielińska Szymon Szypulski Sebastian Iwaniuk Ignacy Maciejewski Open, Laparoscopic, and Robotic Approaches for Inguinal Hernia Repair: A Comprehensive Review Quality in Sport Inguinal hernia laparoscopic hernia repair robotic hernia repair |
| title | Open, Laparoscopic, and Robotic Approaches for Inguinal Hernia Repair: A Comprehensive Review |
| title_full | Open, Laparoscopic, and Robotic Approaches for Inguinal Hernia Repair: A Comprehensive Review |
| title_fullStr | Open, Laparoscopic, and Robotic Approaches for Inguinal Hernia Repair: A Comprehensive Review |
| title_full_unstemmed | Open, Laparoscopic, and Robotic Approaches for Inguinal Hernia Repair: A Comprehensive Review |
| title_short | Open, Laparoscopic, and Robotic Approaches for Inguinal Hernia Repair: A Comprehensive Review |
| title_sort | open laparoscopic and robotic approaches for inguinal hernia repair a comprehensive review |
| topic | Inguinal hernia laparoscopic hernia repair robotic hernia repair |
| url | https://apcz.umk.pl/QS/article/view/59482 |
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