• MeSH
• chirurgické síťky MeSH
• delfská metoda MeSH
• hernie MeSH
• incizní kýla * diagnóza   chirurgie   MeSH
• lidé MeSH
• operace kýly metody   MeSH
• pooperační komplikace MeSH
• ventrální hernie * diagnóza   chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

BACKGROUND: There is a reasonable body of evidence around oral/dental health and implant infection in orthopaedic and cardiovascular surgery. Another large area of surgical practice associated with a permanent implant is mesh hernia repair. This study aimed to review the evidence around oral/dental health and mesh infection. METHODS: The research protocol was registered in PROSPERO (CRD42022334530). A systematic review of the literature was undertaken according to the PRISMA 2020 statement. The initial search identified 582 publications. A further four papers were identified from references. After a review by title and abstract, 40 papers were read in full text. Fourteen publications were included in the final review, and a total of 47,486 patients were included. RESULTS: There is no published evidence investigating the state of oral hygiene/health and the risk of mesh infection or other infections in hernia surgery. Improvement in oral hygiene/health can reduce surgical site infection and implant infection in colorectal, gastric, liver, orthopaedic and cardiovascular surgery. Poor oral hygiene/health is associated with a large increase in oral bacteria and bacteraemia in everyday activities such as when chewing or brushing teeth. Antibiotic prophylaxis does not appear to be necessary before invasive dental care in patients with an implant. CONCLUSION: Good oral hygiene and oral health is a strong public health message. The effect of poor oral hygiene on mesh infection and other complications of mesh hernia repair is unknown. While research is clearly needed in this area, extrapolating from evidence in other areas of surgery where implants are used, good oral hygiene/health should be encouraged amongst hernia patients both prior to and after their surgery.

• Klíčová slova
• Hernia, Infection, Mesh, Oral/dental health,
• MeSH
• chirurgické síťky škodlivé účinky   MeSH
• infekce chirurgické rány prevence a kontrola   MeSH
• inguinální hernie * chirurgie   MeSH
• lidé MeSH
• operace kýly škodlivé účinky   metody   MeSH
• orální hygiena MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH
• systematický přehled MeSH

BACKGROUND: There is an increasing number of patients following hernia surgery with implanted mesh reporting symptoms that could indicate autoimmune or allergic reactions to mesh. 'Allergy' to metals, various drugs, and chemicals is well recognised. However, hypersensitivity, allergy or autoimmunity caused by surgical mesh has not been proven by a scientific method to date. The aim of this study was twofold: to describe the pathophysiology of autoimmunity and foreign body reaction and to undertake a systematic review of surgical mesh implanted at the time of hernia repair and the subsequent development of autoimmune disease. METHODS: A systematic review using the PRISMA guidelines was undertaken. Pubmed (Medline), Google Scholar and Cochrane databases were searched for all English-written peer-reviewed articles published between 2000 and 2021. The search was performed using the keywords "hernia", "mesh", "autoimmunity", "ASIA", "immune response", "autoimmune response". RESULTS: Seven papers were included in the final analysis-three systematic reviews, three cohort studies and one case report. Much of the current data regarding the association of hernia mesh and autoimmunity relies on retrospective cohort studies and/or case reports with limited availability of cofounding factor data linked to autoimmune disease such as smoking status or indeed a detailed medical history of patients. Three systematic reviews have discussed this topic, each with a slightly different approach and none of them has identified causality between the use of mesh and the subsequent development of autoimmune disease. CONCLUSION: There is little evidence that the use of polypropylene mesh can lead to autoimmunity. A large number of potential triggers of autoimmunity along with the genetic predisposition to autoimmune disease and the commonality of hernia, make a cause and effect difficult to unravel at present. Biomaterials cause foreign body reactions, but a chronic foreign body reaction does not indicate autoimmunity, a common misunderstanding in the literature.

• Klíčová slova
• ASIA, Autoimmune, Autoimmunity, Hernia mesh, Immune, Polypropylene,
• MeSH
• autoimunitní nemoci * etiologie   MeSH
• chirurgické síťky škodlivé účinky   MeSH
• inguinální hernie * chirurgie   MeSH
• lidé MeSH
• operace kýly škodlivé účinky   metody   MeSH
• reakce na cizí těleso chirurgie   MeSH
• retrospektivní studie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH
• práce podpořená grantem MeSH
• přehledy MeSH
• systematický přehled MeSH

The article reviews the history of inguinal hernia surgery. At various times, different procedures and diverse materials were used for hernia repair. However, the effectiveness and safety of inguinal hernia repair emerged only after the anatomic features of the inguinal region had been elucidated in a monograph by Henri Fruchaud "Anatomie des hernies de l'aine" published in 1956. The Italian surgeon Edoardo Bassini began a new era in herniology. For a longtime, his classic procedure with its modifications was the most popular in surgical practice. In 1959, Lloyd M. Nyhus proposed inguinal hernia repair according to the concept of the pre-abdominal (posterior) approach that later became the basis for developing the transabdominal preperitoneal hernia repair (TAPP). In 1992, M. Arregui performed the first ТАРР using a prolene mesh. In 1986, Irving Lichtenstein proposed the concept of "tension-free repair". Basing on his concept, Lichtenstein described an open technique of inguinal hernia repair, which now bears his name and is popular in surgical practice. In 1993, the term "extraperitoneal hernia repair" first appeared in an article by Edward H. Phillips. However, J. Dulucq developed the modern ТЕР technique. Currently, three tension-free inguinal hernia repairs (TAPP, ТЕР and Lichtenstein procedure) and one tension inguinal hernia repair (Shouldice procedure) dominate in inguinal hernia surgery.

• Klíčová slova
• hernia repair, history of surgery, inguinal hernia,
• MeSH
• chirurgické síťky MeSH
• inguinální hernie * chirurgie   MeSH
• laparoskopie * MeSH
• lidé MeSH
• operace kýly metody   MeSH
• třísla MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH

INTRODUCTION: The ureter is present in surgical field during inguinal hernia repair in 0.5-4% of cases. It typically occurs in obese patients, in men and patients after kidney transplants. Right-sided and indirect location of ureteral herniation prevails. The clinical picture is mostly asymptomatic, but possible manifestations include increased frequency of urination with urgency, nocturia, recurrent pyelonephritis, urosepsis, feeling of incomplete emptying of the bladder, signs of GIT obstruction. Diagnostic methods include retrograde pyelography or CT urography. Surgical treatment is indicated in every case of ureteral herniation. Reposition of the ureter retroperitoneally and standard plasty of the inguinal canal is the method of choice. METHODS: 33 cases of ureteral hernia were reviewed in order to write a systematized review of the topic. The case report describes a 68-year-old patient with prostatic hyperplasia and dysuria treated at our institution. A preoperative CT examination with intravenous contrast showed herniation of the right ureter into the inguinal area with hydronephrosis of 2nd degree. Preoperative insertion of a mono-J stent into the right ureter and reposition of the ureter retroperitoneally followed by hernia repair using alloplastic material was performed. There were no postoperative complications. RESULTS AND CONCLUSION: In risky cases, the surgeon should assume the possible presence of a ureter in the inguinal region. Careful dissection in the inguinal area reduces the risk of iatrogenic damage to the ureter.

• MeSH
• inguinální hernie * komplikace   chirurgie   MeSH
• lidé MeSH
• operace kýly metody   MeSH
• senioři MeSH
• transplantace ledvin * škodlivé účinky   MeSH
• třísla MeSH
• ureter * transplantace   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

INTRODUCTION: Chronic pain is a distressing complication that can occur after inguinal hernia repair, affecting between 5% and 20% of patients as reported in literature. There are several reasons for chronic pain, including peripheral nerve irritation caused by surgical mesh or stitches. Preoperative pain is a risk factor for chronic pain. CASE REPORT: We present the case of a 59-year-old man who experienced chronic inguinal pain following Lichtenstein hernia repair. Conservative therapy was ineffective, and he subsequently underwent triple neurectomy without removal of the original polypropylene mesh. The patient experienced significant pain relief immediately after the surgery. There was no reported pain 1 month and 1 year post-surgery. CONCLUSION: The management of patients with chronic pain following hernia repair should be comprehensive and, ideally, centralized. Conservative procedures should be attempted first, but neurectomy and mesh removal may be necessary in cases where conservative measures are unsuccessful.

• Klíčová slova
• Lichtenstein hernia repair, chronic pain, inguinal hernia, neurectomy,
• MeSH
• chirurgické síťky škodlivé účinky   MeSH
• chronická bolest * etiologie   chirurgie   MeSH
• denervace MeSH
• inguinální hernie * chirurgie   komplikace   MeSH
• lidé středního věku MeSH
• lidé MeSH
• operace kýly * škodlivé účinky   metody   MeSH
• pooperační bolest etiologie   chirurgie   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

PURPOSE: Since 01/2018, AVOS (ambulant vor stationär = outpatient to inpatient) regulation has been progressively implemented in hernia surgery in Switzerland. The aim of this prospective, observational, two-centre comparative study was to compare the outcome of outpatient and inpatient post-operative care in terms of AVOS by examining the re-admission rate, complication rate and quality of life in patients with primary unilateral inguinal hernia repair. METHODS: The study ran between 01/2019 and 04/2020 and included 237 patients with a primary unilateral inguinal hernia. Treatment setting was decided according to AVOS guidelines. Primary endpoint was re-admission rate within 6 weeks postoperatively. Secondary endpoints were the complication rate and patient outcome (quality of life) at 6 weeks follow-up postoperatively, as measured by the Short Form 36 Health Survey Questionnaire (SF-36). RESULTS: Complications occurred in 11 (14%) inpatient patients, but none required re-admitting for revision until follow-up at 6 weeks after discharge. In the outpatient group, there were 27 (17%) complications reported, while 6 (4%) of these patients crossed over to the inpatient group immediately after surgery. None of the other complications required re-admission until follow-up at 6 weeks. No significant relationship between treatment setting and number of complications/re-admission rate (p=0.458, p=0.061) was observed. The mean outcome (SF-36) between the treatment groups was not significantly different (p=0.16-0.856). CONCLUSION: In terms of AVOS selection criteria in Switzerland, primary unilateral inguinal hernia can be safely treated in both treatment settings. Re-admission rates, complications and quality of life do not significantly differ. Day surgery in terms of AVOS might be as effective and efficient, both from the patient's perspective and that of the institution. TRIAL REGISTRATION NUMBER: NCT05234242.

• Klíčová slova
• AVOS, Complications, Inguinal hernia treatment, Inpatient, Outcome, Outpatient, Re-admission,
• MeSH
• chirurgické síťky MeSH
• inguinální hernie * chirurgie   MeSH
• kvalita života MeSH
• lidé MeSH
• operace kýly škodlivé účinky   MeSH
• pacienti ambulantní MeSH
• pacienti hospitalizovaní MeSH
• prospektivní studie MeSH
• recidiva MeSH
• výsledek terapie MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• pozorovací studie MeSH
• Geografické názvy
• Švýcarsko MeSH

INTRODUCTION: The aim of this study was to analyse complications associated with inicisional hernia repair surgery and to assess individual risk factors for surgical site infections occurring at the Department of Surgery of the University Hospital Kralovske Vinohrady in 2015. METHODS: We analysed 138 patients with a focus on risk factors that potentially increase the risk of postoperative infectious complications such as mesh implantation, smoking, diabetes mellitus, ischemic heart disease, malignancies, immunosuppressive therapy and urgency of the procedure. RESULTS: Based on multivariate logistic regression analysis, acute surgery proved to be a risk factor for infection, and in the ad hoc Fisher test, the ratio was 2.73. Diabetes mellitus as a risk factor reached the limit of significance (p=0.071). No other variables were associated with an increased risk of surgical site infections. CONCLUSION: Acute surgery was assessed as a significant risk factor for postoperative wound infection. On the contrary, mesh repair was not associated with an increased risk of infection.

• Klíčová slova
• Hernia, complication, complications, hernia, hernioplasty, infection,
• MeSH
• chirurgické síťky škodlivé účinky   MeSH
• infekce chirurgické rány etiologie   MeSH
• jizva komplikace   chirurgie   MeSH
• lidé MeSH
• operace kýly * škodlivé účinky   metody   MeSH
• retrospektivní studie MeSH
• ventrální hernie * chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

INTRODUCTION: Chronic defects and hernias of the abdominal wall are a common complication of repeated surgical procedures and/or their accompanying complications. Reconstruction of the abdominal wall is difficult in these defects/hernias and debates of an ideal method of treatment have not reached a conclusion. Primary suture is usually impossible. Onlay, inlay, sublay, underlay and IPOM plasty procedures have their limits and often lead to unsatisfactory results. CST (component separation technique) technique is a new therapeutic approach enabling a solution of large defects and hernias of the abdominal wall with very good short-term results. TAR (transversus abdominis release) is a posterior approach in CST. It releases transversus abdominis muscle (MTA) to mobilize the posterior sheath of the rectus abdominis muscle (MRA). TAR preserves MRA and its neurovascular bundle, creates a large space for mesh insertion and allows complex reconstruction of the abdominal wall. CASE REPORT: A 55-year-old patient underwent surgery for perforated diverticulitis of colon sigmoideum with diffuse peritonitis. Hartmans operation was performed. The patient was reoperated for colostomy necrosis and fascia dehiscence on the 7th postoperative day. After healing 6 months later, colostomy occlusion was indicated. The operation itself - colorectal anastomosis using an end-to-end circular stapler - was without complications. However, complications occurred in the postoperative period including an intra-abdominal abscess in the lesser pelvis and subsequent destructive phlegmona and necrosis of the abdominal wall, resulting in a non-healing extensive chronic abdominal wall defect. After the failure of conservative treatment, the chronic defect was excised and the abdominal wall was reconstructed using the TAR method. CONCLUSION: TAR is an acceptable method in the treatment of large defects and hernias of the abdominal wall, associated with low perioperative morbidity and low recurrence rates.

• Klíčová slova
• Tar, abdominal wall defect,
• MeSH
• břišní stěna * chirurgie   MeSH
• břišní svaly chirurgie   MeSH
• chirurgické síťky MeSH
• lidé středního věku MeSH
• lidé MeSH
• nekróza chirurgie   MeSH
• operace kýly metody   MeSH
• recidiva MeSH
• ventrální hernie * chirurgie   MeSH
• Check Tag
• lidé středního věku MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

BACKGROUND: Ventral hernia repair is one of the most commonly performed surgical procedures worldwide. To reduce the risk of complications, patient prehabilitation has received increasing focus in recent years. To assess prehabilitation measures, this European Hernia Society endorsed project was launched. The aim of this systematic review was to evaluate the current literature on patient prehabilitation prior to ventral hernia repair. METHODS: The strategies examined were optimization of renal disease, obesity, nutrition, physical exercise, COPD, diabetes and smoking cessation. For each topic, a separate literature search was conducted, allowing for seven different sub-reviews. RESULTS: A limited amount of well-conducted research studies evaluating prehabilitation prior to ventral hernia surgery was found. The primary findings showed that smoking cessation and weight loss for obese patients led to reduced risks of complications after abdominal wall reconstruction. CONCLUSION: Prehabilitation prior to ventral hernia repair may be widely used; however, the literature supporting its use is limited. Future studies evaluating the impact of prehabilitation before ventral hernia surgery are warranted.

• Klíčová slova
• Abdominal wall reconstruction, Complications, Frailty, Preoperative optimization,
• MeSH
• cvičení MeSH
• fyzioterapie v předoperační přípravě * MeSH
• lidé MeSH
• obezita MeSH
• operace kýly škodlivé účinky   metody   MeSH
• pooperační komplikace etiologie   prevence a kontrola   chirurgie   MeSH
• předoperační péče metody   MeSH
• ventrální hernie * chirurgie   MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• přehledy MeSH
• systematický přehled MeSH