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Direct inguinal hernia

MedGen UID:
6818
•Concept ID:
C0019295
•
Disease or Syndrome
Synonyms: Direct Inguinal Hernia; Direct Inguinal Hernias; Hernia, Direct Inguinal; Hernias, Direct Inguinal; Inguinal Hernia, Direct; Inguinal Hernias, Direct
SNOMED CT: Direct inguinal hernia (73147001); Internal inguinal hernia (73147001)

Definition

A protrusion of the abdominal cavity contents into the inguinal canal through the superficial inguinal ring. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVDirect inguinal hernia

Professional guidelines

PubMed

Athlete's hernia--a true, early direct inguinal hernia: diagnosis, pathophysiology, and surgical treatment.
Chernyavsky VS, Davidov T, Trooskin SZ, Boyarsky A
Am Surg 2011 Nov;77(11):1472-6. PMID: 22196660

Recent clinical studies

Etiology

Laparoscopic Sac Disconnection and Peritoneal Closure of Pediatric Inguinal Hernia.
Youssef F, Abdul-Hadi Martinez A, Eamer G, Nasr A, Bettolli M
J Laparoendosc Adv Surg Tech A 2024 Aug;34(8):747-751. Epub 2024 Mar 22 doi: 10.1089/lap.2023.0425. PMID: 38526574
Robotic Direct Inguinal Hernia Repair: To Plicate or Not to Plicate?
Kudsi OY, Bou-Ayash N, Gokcal F, Chang K
Surg Laparosc Endosc Percutan Tech 2021 Jul 23;31(6):716-721. doi: 10.1097/SLE.0000000000000975. PMID: 34310555
Circulating matrix metalloproteinases and procollagen propeptides in inguinal hernia.
Li J, Zhang X, Sun Q, Li W, Yu A, Fu H, Chen K
Hernia 2018 Jun;22(3):541-547. Epub 2018 Feb 26 doi: 10.1007/s10029-018-1751-y. PMID: 29484522
Nonprosthetic Direct Inguinal Hernia Repair During Robotic Radical Prostatectomy.
Mourmouris P, Argun OB, Tufek I, Obek C, Skolarikos A, Tuna MB, Keskin S, Kural AR
J Endourol 2016 Feb;30(2):218-22. Epub 2015 Nov 17 doi: 10.1089/end.2015.0556. PMID: 26486884
The epidemiology and risk factors for recurrence after inguinal hernia surgery.
Burcharth J
Dan Med J 2014 May;61(5):B4846. PMID: 24814748

Diagnosis

Fascia defect closure versus non-closure in minimal invasive direct inguinal hernia mesh repair: a systematic review and meta-analysis of real-world evidence.
Tai TE, Bai GH, Shiau CH, Wu JC, Hou WH
Hernia 2023 Apr;27(2):459-469. Epub 2022 Dec 28 doi: 10.1007/s10029-022-02732-5. PMID: 36576667
Circulating matrix metalloproteinases and procollagen propeptides in inguinal hernia.
Li J, Zhang X, Sun Q, Li W, Yu A, Fu H, Chen K
Hernia 2018 Jun;22(3):541-547. Epub 2018 Feb 26 doi: 10.1007/s10029-018-1751-y. PMID: 29484522
Inguinal Hernia in Athletes: Role of Dynamic Ultrasound.
Vasileff WK, Nekhline M, Kolowich PA, Talpos GB, Eyler WR, van Holsbeeck M
Sports Health 2017 Sep/Oct;9(5):414-421. Epub 2017 Jul 21 doi: 10.1177/1941738117717009. PMID: 28732177Free PMC Article
Consequences of Underestimating Impalement Bicycle Handlebar Injuries in Children.
Ramos-Irizarry CT, Swain S, Troncoso-Munoz S, Duncan M
J Trauma Nurs 2017 Jan/Feb;24(1):25-29. doi: 10.1097/JTN.0000000000000258. PMID: 28033138
Systemic and local collagen turnover in hernia patients.
Henriksen NA
Dan Med J 2016 Jul;63(7) PMID: 27399987

Therapy

Fascia defect closure versus non-closure in minimal invasive direct inguinal hernia mesh repair: a systematic review and meta-analysis of real-world evidence.
Tai TE, Bai GH, Shiau CH, Wu JC, Hou WH
Hernia 2023 Apr;27(2):459-469. Epub 2022 Dec 28 doi: 10.1007/s10029-022-02732-5. PMID: 36576667
The incidence and analysis of ipsilateral occult hernia in patients undergoing hernia repair: a single institution retrospective study of 1066 patients.
He J, Xu YJ, Sun P, Wang J, Yang CG
BMC Surg 2021 Apr 7;21(1):182. doi: 10.1186/s12893-021-01181-8. PMID: 33827518Free PMC Article
Fifteen Years Experience with Laparoscopic Inguinal Hernia Repair in Infants and Children.
Shalaby R, Abd Alrazek M, Elsaied A, Helal A, Mahfouz M, Ismail M, Shams A, Magid M
J Laparoendosc Adv Surg Tech A 2018 Jan;28(1):101-105. Epub 2017 Oct 30 doi: 10.1089/lap.2017.0269. PMID: 29083263
The epidemiology and risk factors for recurrence after inguinal hernia surgery.
Burcharth J
Dan Med J 2014 May;61(5):B4846. PMID: 24814748
Endoscopic totally extraperitoneal inguinal hernioplasty for recurrence after open repair.
Lau H
ANZ J Surg 2004 Oct;74(10):877-80. doi: 10.1111/j.1445-1433.2004.03193.x. PMID: 15456437

Prognosis

Consequences of Underestimating Impalement Bicycle Handlebar Injuries in Children.
Ramos-Irizarry CT, Swain S, Troncoso-Munoz S, Duncan M
J Trauma Nurs 2017 Jan/Feb;24(1):25-29. doi: 10.1097/JTN.0000000000000258. PMID: 28033138
Systemic and local collagen turnover in hernia patients.
Henriksen NA
Dan Med J 2016 Jul;63(7) PMID: 27399987
The epidemiology and risk factors for recurrence after inguinal hernia surgery.
Burcharth J
Dan Med J 2014 May;61(5):B4846. PMID: 24814748
Endoscopic totally extraperitoneal inguinal hernioplasty for recurrence after open repair.
Lau H
ANZ J Surg 2004 Oct;74(10):877-80. doi: 10.1111/j.1445-1433.2004.03193.x. PMID: 15456437
Laparoscopic herniorrhaphy.
Corbitt JD Jr
Surg Laparosc Endosc 1991 Mar;1(1):23-5. PMID: 1669372

Clinical prediction guides

Utilization of laparoscopic and open inguinal hernia repair at a large hernia center in China: a single-center observational study.
Ma Q, Liu X, Yang H, Gu L, Chen J
Surg Endosc 2023 Feb;37(2):1140-1148. Epub 2022 Sep 22 doi: 10.1007/s00464-022-09624-w. PMID: 36138248
Robotic Direct Inguinal Hernia Repair: To Plicate or Not to Plicate?
Kudsi OY, Bou-Ayash N, Gokcal F, Chang K
Surg Laparosc Endosc Percutan Tech 2021 Jul 23;31(6):716-721. doi: 10.1097/SLE.0000000000000975. PMID: 34310555
Nonprosthetic Direct Inguinal Hernia Repair During Robotic Radical Prostatectomy.
Mourmouris P, Argun OB, Tufek I, Obek C, Skolarikos A, Tuna MB, Keskin S, Kural AR
J Endourol 2016 Feb;30(2):218-22. Epub 2015 Nov 17 doi: 10.1089/end.2015.0556. PMID: 26486884
The epidemiology and risk factors for recurrence after inguinal hernia surgery.
Burcharth J
Dan Med J 2014 May;61(5):B4846. PMID: 24814748
The role of matrix metalloproteinases in the pathogenesis of abdominal wall hernias.
Antoniou SA, Antoniou GA, Granderath FA, Simopoulos C
Eur J Clin Invest 2009 Nov;39(11):953-9. Epub 2009 Jul 27 doi: 10.1111/j.1365-2362.2009.02199.x. PMID: 19656168

Recent systematic reviews

Fascia defect closure versus non-closure in minimal invasive direct inguinal hernia mesh repair: a systematic review and meta-analysis of real-world evidence.
Tai TE, Bai GH, Shiau CH, Wu JC, Hou WH
Hernia 2023 Apr;27(2):459-469. Epub 2022 Dec 28 doi: 10.1007/s10029-022-02732-5. PMID: 36576667
Systemic and local collagen turnover in hernia patients.
Henriksen NA
Dan Med J 2016 Jul;63(7) PMID: 27399987
The epidemiology and risk factors for recurrence after inguinal hernia surgery.
Burcharth J
Dan Med J 2014 May;61(5):B4846. PMID: 24814748

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