Hatewar Akansha, Mahakalkar Chanrashekhar, Kshirsagar Shivani, Ram Sohan Poosarla, Dixit Sparsh, Bikkumalla Shruthi
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Aug 5;16(8):e66206. doi: 10.7759/cureus.66206. eCollection 2024 Aug.
Hernias are a common medical condition characterized by the protrusion of organs or tissues through weakened muscle walls, affecting millions worldwide annually. Historically, from being treated with open surgeries using tension-free mesh repairs, the landscape of hernia repair has evolved significantly. This evolution has been marked by the advent and refinement of minimally invasive techniques, including laparoscopic and robotic-assisted approaches, which offer reduced postoperative pain, shorter recovery times, and improved patient outcomes compared to traditional methods. This comprehensive review aims to elucidate the evolution of hernia repair techniques, emphasizing the transition from conventional mesh repairs to advanced minimally invasive methodologies. By examining the historical progression and current state of hernia surgery, this review thoroughly analyzes the advancements in surgical techniques, materials, and technologies. Furthermore, it explores emerging trends such as biological meshes, ultrasound-guided procedures, and 3D printing applications in hernia repair. The clinical significance of these advancements lies in their potential to enhance the patient's quality of life, minimize complications, and optimize healthcare resource utilization. Insights gained from this review will inform clinicians and researchers about the efficacy, safety, and comparative effectiveness of various hernia repair approaches, guiding future directions in hernia management and fostering innovation in surgical practice.
疝气是一种常见的医学病症，其特征是器官或组织通过薄弱的肌肉壁突出，每年影响全球数百万人。从历史上看，疝气修复的格局已从使用无张力网片修补的开放手术治疗发生了显著演变。这种演变的标志是微创技术的出现和完善，包括腹腔镜和机器人辅助方法，与传统方法相比，这些方法术后疼痛减轻、恢复时间缩短且患者预后改善。这篇综述旨在阐明疝气修复技术的演变，强调从传统网片修补向先进微创方法的转变。通过审视疝气手术的历史进程和当前状况，本综述全面分析了手术技术、材料和技术方面的进展。此外，它还探讨了疝气修复中的新兴趋势，如生物网片、超声引导手术和3D打印应用。这些进展的临床意义在于它们有可能提高患者的生活质量、减少并发症并优化医疗资源利用。从本综述中获得的见解将使临床医生和研究人员了解各种疝气修复方法的疗效、安全性和相对有效性，为疝气管理的未来方向提供指导，并促进手术实践中的创新。
