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<p>Inguinal hernias that are asymptomatic and cannot be easily detected clinically are called occult hernias. The question arises whether these hernias, when incidentally detected intraoperatively during the repair of a&#xa0;symptomatic contralateral inguinal hernia, should be repaired simultaneously. Some of these hernias become symptomatic over time and require surgery (metachronous inguinal hernia). Metachronous hernias must be distinguished from overlooked lipomas of the inguinal canal (cord lipomas) missed at the index operation. Until now, no classification of cord lipomas has been available. This article is the first to present such a&#xa0;classification. Lastly, chronic postoperative inguinal pain (CPIP) is a&#xa0;key reason for reluctance in the occasional treatment of occult hernias. The following text provides an overview and decision-making aid for the management of occult inguinal hernias.</p>

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Okkulte Hernien, Klassifikation der Leistenlipome und chronische postoperative Leistenschmerzen

  • 期刊论文

  • 发表日期：

    2025年6月16日

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  • U. A. Dietz,
  • M. Heimke,
  • R. Frey,
  • D. Pohl,
  • A. Widder,
  • M. Meir

摘要

Inguinal hernias that are asymptomatic and cannot be easily detected clinically are called occult hernias. The question arises whether these hernias, when incidentally detected intraoperatively during the repair of a symptomatic contralateral inguinal hernia, should be repaired simultaneously. Some of these hernias become symptomatic over time and require surgery (metachronous inguinal hernia). Metachronous hernias must be distinguished from overlooked lipomas of the inguinal canal (cord lipomas) missed at the index operation. Until now, no classification of cord lipomas has been available. This article is the first to present such a classification. Lastly, chronic postoperative inguinal pain (CPIP) is a key reason for reluctance in the occasional treatment of occult hernias. The following text provides an overview and decision-making aid for the management of occult inguinal hernias.