The Inguinal hernia alone represents more than 90% of abdominal hernias; it frequently shows up in the first years of life or at the end of adolescence (often congenital), while it reaches its peak in old age (often acquired). In the female sex it is uncommon, whereas the crural hernia prevails.
The crural hernia is a less frequent type of hernia than the inguinal, which occurs more often in women after the age of 30. The crural ring, which is the weakness location of this hernia, corresponds to an anatomical space immediately below the inguinal ligament and in strict connection with the femoral vessels (artery and vein).
The umbilical and epigastric hernias develop out of defects in the abdominal midline, in the so-called “white line” area, the common tendon that unites the right and left abdominal rectus muscles by merging and joining the anterior and posterior tendon sheaths.
Every clinical case requires a personalised evaluation. Every surgical technique offers advantages and disadvantages. The choice of the best technique is the result of a careful evaluation of the patient, the eventual co-morbidities, the somatic conformation, the severity of the hernial pathology and numerous other factors. Once the clinical case has been assessed as a whole, a conscious, informed and shared technique choice will be decided between doctor and patient.
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