Surgical Repair Of Inguinal Hernia Research Articles

Inguinal hernia repair in newborns: A systematic literature review

Background: Inguinal hernia (IH) is a prevalent condition in children necessitating surgical repair. However, determining the optimal timing (early or delayed) of inguinal herniotomy in neonates and preterm infants remains debatable. While open herniotomy traditionally serves as the standard inguinal hernia repair (IHR) procedure, laparoscopic repair has gained traction in recent decades. Our study aims to scrutinize both the optimal timing and approach to inguinal hernia repair in neonates and preterm infants. Methods: We conducted a literature review on surgical repair of IH in neonates and preterm infants published between 1999 and 2024. Results: Twenty studies met the inclusion criteria for this review. All studies were retrospective, predominantly originating from Europe and the United States. Thirteen out of the 20 studies focused solely on preterm infants. Patient sample sizes ranged from 30 to 8037, totaling 14533 patients. Most studies indicate that delaying inguinal hernia repair in newborns and preterm infants does not increase the risk of incarceration or recurrence. Moreover, postponing repair until after discharge from the NICU correlates with a shorter postoperative hospital stay and notably diminishes the risk of long-term postoperative ventilator dependence, thereby mitigating potential perioperative complications. Hence, this approach seems safe for certain patients whose families can reliably access appropriate surgical care. Conclusion: Significant disparities exist in the timing of inguinal hernia repair for newborns and preterm infants across various pediatric surgery centers. Current evidence suggests delayed inguinal hernia repair may be a viable option for selected patients. Regarding the optimal approach in this population, laparoscopy appears safe and effective.

Inguinal herniation associated with hydrocele

An inguinal hernia is a condition characterized by the protrusion of the intestine through an opening in the abdominal wall into the inguinal canal. There are various techniques available for the surgical repair of inguinal hernias, including open and laparoscopic approaches. On the other hand, a hydrocele refers to the accumulation of fluid within the scrotum and is often referred to as a "water hernia." In adults, hydroceles can be caused by factors such as injury, infection, or radiation therapy. Definitive treatment typically involves a surgical approach, which has an excellent prognosis. This case report presents the clinical scenario of a 58-year-old male patient, who presented with pain in the right inguinal region that radiated to the right scrotum. Upon examination, mild swelling was observed in the right inguinal region, along with significant edema of the right scrotum, which was tender to touch. Following admission, the patient underwent surgical treatment. The purpose of this case presentation is to enhance understanding of inguinal hernias and hydroceles, facilitating their identification and diagnosis.

Comparison of Early Postoperative Outcomes Between Totally Extraperitoneal and Lichtenstein Repair of Inguinal Hernia: A Prospective Randomized Study.

Background: Surgical repair of inguinal hernia is among the most commonly performed surgical interventions in general surgery clinics, with minimal postoperative complications, less pain, and maximum cosmetic results. The aim of this study is to compare the outcomes of patients who underwent Lichtenstein repair (LR), which is currently the most commonly used open surgical procedure to repair inguinal hernias, and laparoscopic totally extraperitoneal (TEP) repair with regard to postoperative cosmesis, patient satisfaction, pain, and inflammatory response. Patients and Methods: The study consisted of male patients 18-65 years of age, who were operated for inguinal hernia with two different methods between February 2022 and January 2023 in the general surgery clinic of Elazig Fethi Sekin City Hospital. C-reactive protein (CRP), white blood cell, and interleukin 6 (IL-6) levels were observed to evaluate the inflammatory response in all patients. Visual Analog Scale and Verbal Rating Score systems were used to monitor the response to pain in the postoperative period. In addition, both groups were evaluated for patient satisfaction in cosmetic terms using the Vancouver Scar Scale and the Modified Stony Brook Scar Evaluation Scale. Results: Postoperative pain sensation in the TEP group was found to be significantly lower compared to the LR group. In terms of inflammatory response, IL-6 and CRP levels were found to be significantly higher in the LR group on postoperative day 1 and 2. Satisfaction with the cosmetic appearance of the surgical scar was significantly higher in the TEP group. Conclusion: TEP, which is a laparoscopic hernia repair method, is a safe surgical technique that can be preferred, especially in patients with less postoperative pain and higher cosmetic expectations. In terms of inflammatory response, significant difference is also in favor of TEP repair.

Studying the surgical stress in open and laparoscopic treatment of inguinal hernia in children.

Studying the surgical stress in open and laparoscopic treatment of inguinal hernia in children.

Comparison of total extraperitoneal and Lichtenstein repair for Inguinal Hernia.

Objective: To compare the outcome of surgical repair of inguinal hernia between total extra peritoneal repair (TEP) and Lichtenstein repair. Study Design: Randomized Controlled Trial. Setting: Department of Surgery, Sheikh Zayed Hospital, Rahim Yar Khan. Period: 24-03-2021 to 23-09-2021. Material & Methods: Non probability consecutive sampling. The cases of both genders with age range of 20-60 years with inguinal hernia (both direct and indirect) were included. The cases in group A were managed by laparoscopic TEP while those in group B underwent Lichtenstein repair. Prolonged hospital stay was labeled when the patients were not discharged after 24 hours of surgery and post-operative pain was labelled as yes when the patient had pain of score of 3 or more assessed by visual analogue scale after the 2 weeks of the surgery. Results: In this study 62 cases were included, 31 in each group. The mean age in group A and B was 32.90±9.89 vs 32.67±7.57 years and mean duration of hospital stay was 22.77±6.84 vs 26.00±11.25 hours with P=0.004 in group A and B respectively. Postoperative pain was seen in 08 (25.80%) cases in group A and 19 (61.29%) cases in group B with P=0.01. Prolonged hospital stay was observed in 10 (32.25%) cases in group A and 18 (58.06%) cases in group B withP= 0.07. Conclusion: Postoperative pain is significantly higher in cases managed with Lichtenstein repair as compared to total extra peritoneal repair.

Analgesic Efficacy of TAP Block Versus Wound Subfascial Infiltration After Inguinal Hernia Surgery: Randomized Prospective Study

Introduction: The main objective of this study is to compare TAP block with subfascial wound infiltration in the prevention of acute and chronic postoperative pain after surgical repair of inguinal hernia. Materials and methods: This is a prospective randomized study. After approval by the local ethics committee and obtaining informed patients consent, ASA I or ASA II patients proposed for a simple inguinal hernia cure are included. Patients were randomized into two groups: Subfascial cicatricial infiltration with 0.5% bupivacaine (20 ml) during wall closure (Group 1); a TAP block (by the technique of two projections) with 0.5% bupivacaine (20 ml) on the operated side (Group 2). Postoperative analgesia is provided by systematic Paracetamol and Nefopam and morphine titration. Apart from demographic parameters and ASA class, the postoperative pain intensity at rest and at coughing, the morphine consumption and the secondary effects were compared. Patients’ satisfaction and postoperative chronic pain at 3 and 6 months were also analyzed. Results: Concerning demographic parameters, ASA class and secondary effects, we didn’t find any meaningful difference. However, there was a significant reduction of postoperative pain in the TAP group whether at rest as coughing. Gr 1 patients asked for more morphine consumption and they were less satisfied and accused more chronic pain. Conclusion: This study shows that the TAP block is as simple and effective technique in reducing acute postoperative pain and preventing chronic pain after inguinal hernia surgery. This technique seems well tolerated and more effective than a single subfascial infiltration injection.

Successful surgical repair of inguinal hernia causing positional obstructive uropathy: A rare cause of renal graft dysfunction - Case report

Bladder herniation with obstructive uropathy is a relatively rare occurrence, however, urinary bladder herniation along with ureteroneocystostomy and leading to positional obstructive uropathy of the graft is an unusual presentation. This is a unique case of a 38-year-old male who presented with inguinal hernia with raised serum creatinine who had undergone renal transplant 10 years back in 2011. Magnetic resonance urogram revealed herniation of urinary bladder and hydroureteronephrosis of transplant kidney. Patient is managed by surgical exploration through inguinal incision and reduction of ureteroneocystostomy herniation after ureterolysis and hernioplasty was performed. The cause of obstructive uropathy was herniation of the bladder along with ureteroneocystostomy, and the patient has an insidious onset of symptoms, immediate exploration, and repair of hernia done without any need for percutaneous nephrostomy. Importance of this case report is that sliding herniation of the bladder with ureteroneocystostomy should be considered a diagnosis and investigated if the patient presents with positional obstructive uropathy with inguinal hernia, leading to early identification and salvaging the graft function.

Lichtenstein Tension Free Mesh Hernioplasty under Local Anaesthesia Versus Spinal Anaesthesia.

Background and Aim: The surgical repair of inguinal hernia is one of the most common general surgery procedures performed. The present study was undertaken to compare intra operative and postoperative outcomes of Lichtenstein tension free mesh hernioplasty under local anaesthesia as compared to spinal anaesthesia. Materials and Methods: In this longitudinal study 100 patients aged between 20-80 years, posted for elective mesh hernioplasty were enrolled and divided into two groups. Group-L(n=50) hernioplasty done under local anaesthesia and Group-S(n=50) hernioplasty done under spinal anaesthesia. Patients were assessed for intraoperative comfort or pain felt during surgery, duration of surgery, postoperative pain score, postoperative analgesic doses required, duration of hospital stay and patient satisfaction. Results: Intraoperative pain was comparable in both groups(p=0.695). There was statistically significant difference observed in duration of surgery(p=0.001), postoperative pain at 6hrs(p=0.001), 24hrs(p=0.009) and 48hrs(p=0.047). The mean duration of hospital stay was 2.12 ± 0.172 days in Group-L and 3.9 ± 1.1days in Group-S (p=0.001). The total incidence of postoperative complications seen in Group-L and in Group-S were 6% and 32% respectively which was statistically significant (p-0.001). In Group-L 84% of cases responded ‘satisfactory’ and in Group-S 80% responded ‘satisfactory’ at 6 weeks follow up, which was statistically not significant. Conclusion: Lichtenstein tension free mesh hernioplasty under local anaesthesia can be used as a safer alternative to spinal anaesthesia with advantages of less postoperative pain and postoperative complications in uncomplicated inguinal hernia.

A study of the effectiveness of the bilateral and contralateral occult inguinal hernia repair by total extraperitoneal repair with intraperitoneal examination.

Of the various methods used, the laparoscopic surgical repair of inguinal hernias is widely performed. We aimed to estimate the incidence of bilateral and contralateral occult inguinal hernias in our surgical population and to compare the results of total extraperitoneal repair (TEP) for bilateral and unilateral inguinal hernias, occult and non-occult hernias. We retrospectively reviewed data of patients who underwent TEP for the repair of adult inguinal hernias from January 2012 to November 2018 in our hospital. Of the data of 259 patients included, 134 (51.7%) and 125 (48.3%) had unilateral and bilateral inguinal hernias, respectively, while 70 patients (27%) were found to have a contralateral occult inguinal hernia, intraoperatively. The mean operative time was 129 ± 48 minutes (range, 43-300 minutes) and 167 ± 55 minutes (range, 85-390 minutes) for the unilateral and bilateral groups, respectively, indicating a significantly longer duration of surgery for the bilateral group (P < .05). Recurrence occurred in 1.5% (5/134) and 0.4% (1/250) of the operated hernias in the unilateral and the bilateral groups, respectively, indicating a significantly lower rate of recurrence in the latter group (P < .05). The two groups showed no statistically significant differences with respect to the remaining perioperative data. The incidence of postoperative complications in occult hernias was not significantly different from that in non-occult hernias. Our TEP method, involving a laparoscopic exploration from the intraperitoneal side, can be safely and effectively utilized for the repair of both bilateral and contralateral occult inguinal hernias.

Prospective study on effect of polypropylene mesh prosthesis on testicular perfusion in patients undergoing surgical repair of inguinal hernia

Inguinal hernia repair involves a variety of approaches. Among the multitude of procedures available, the Gold Standard Procedure of Inguinal Hernia repair in recent times is the Lichtenstein’s Tension free mesh hernia repair. When placed intra-operatively, the direct contact of the mesh and associated peri-mesh fibrosis to the vessels in the inguinal canal, there exists a possibility of impaired testicular blood flow and subsequent postoperative morbidity of testicular atrophy. Testicular perfusion, its relation to testicular atrophy is well documented.

Comparison of the outcome between open and laparoscopic inguinal mesh repair

The primitiveness of the techniques of surgical repair of inguinal hernia which can be traced back to civilizations of ancient Egypt and Greece, were often worse than the disease itself. Considering these procedures were performed before the advent of the aseptic technique, it is safe to assume that mortality was quite high. For those that did survive the operation, recurrence of the hernia was commonplace. 60 cases of primary inguinal hernia were selected for the study. Permission of ethical committee and informed consent of each patient was taken. The minimum and maximum time taken to return to work in the open repair group were seen to be 14 and 22 days respectively with a mean of 17.37 and a SD of 2.59, whereas in the laparoscopic group the minimum was 3 days and maximum was 8 days, with a mean of 5.67 and a SD of 1.35 (p value was extremely significant at 2.57E-25).

Overview of the updated management of inguinal hernia

Inguinal hernias are the most common type of hernias with a worldwide prevalence of 5%, yet limited data on the updated management is available. In this study, an overview of the different classic and updated management ways of the case of inguinal hernia around the world was carried out. This systematic review study was based on PubMed database searches for published articles about the management of inguinal hernias. After applying the inclusion and exclusion criteria, the 32 identified articles were further reduced to 22 articles for full-text assessment, and only 11 articles were included. Many researches on inguinal hernia were of poor quality. However, it was concluded that it is important for general practitioners to diagnose correctly and distinguish between inguinal and femoral hernias to best avoid complications. Eligibility for surgery is not procedure- specific and patient’s quality of life must be considered. The data supported the surgical mesh repair as the best technique in surgical repair of inguinal hernia.

Effect of Preoperative Nursing Protocol on Pain and Daily Activities for Post Inguinal Hernia Repair Patients

Background: Pain is the most serious long-term complication occurring after inguinal hernia repair with negative effects on all daily activities. As teaching is considered an important part of nursing care, interventions aimed to reduce pain and improving daily activities following surgical inguinal hernia repair are critically needed. Aim of the study: Toinvestigate the effect of Preoperative nursing protocol on reducing pain and improving daily activities post inguinal hernia repair. Methodology: Research design: Quasi-experimental research design was utilized in the present study. Sample: A purposive sample of (60) male patients undergoing inguinal hernia repair surgery. Setting: The study was carried out at the general surgical unit of Qena University Hospital, Qena governorate, Egypt. Tools of data collection: Three tools were utilized to collect data, First Tool: Structured questionnaire covered 3 parts: First part: Demographic data of the patients. Second part: Medical profile of the patients. Third part: Included knowledge assessment sheet about inguinal hernia disease, pain-relieving strategies and, how to prevent inguinal hernia recurrence. Second Tool: Pain numerical rating scale. Third Tool: Physical self-maintenance scale (Activities of daily living). Study Duration: Data collection of this study was carried out through six months, from the beginning of December 2019 till the end of May 2020. Results: our results revealed that ages among the study and the control groups ranged between (51 to 60 years), with a mean age (51.7±9.42 years and 55.4±6.21 years) respectively. Also, the study group demonstrated low level of pain as compared to control group after application of nursing interventions with a statistical significant difference between the mean score of pain level among the study and the control groups whereas the 1st follow-up was (2.03±0.66 & 0.16±0.37) respectively, at the 2nd follow-up was (5.83±0.46 & 3.57±0.50) respectively, and at the 3rd follow-up was (5.97±0.183 & 5.53±0.507) respectively, moreover the mean score of daily living activities of the study group improved versus the control group with a statistical significant difference in which the 1st follow-up was (1.93+.691 & 0.23+0.43) respectively, at the 2nd follow-up was (5.33+0.661 & 3.6+0.563) respectively, and at the 3rd follow-up was (5.93+0.2454 & 5.53+0.507) respectively. Conclusion: application of preoperative nursing protocol reflected a significant effect on patient's outcomes among the study group as postoperative pain level declined and level of activities increased as compared to the control group. Recommendations: Educational classes with a guide booklet should be provided at regular intervals for patients undergoing hernia repair, and replication of the current study on a larger probability sample from different geographical areas to achieve generalizable results are recommended.

Ultrasound-guided transverse abdominis plane and ilioinguinal-iliohypogastric nerve block versus illioinguinal- illiohypogastric nerve block for inguinal hernia repair in patients with liver cirrhosis

ABSTRACT Background: Patients with chronic liver disease and liver cirrhosis have many anesthetic considerations with general anesthesia and limitation of ability to receive regional anesthesia due to coagulopathy and low platelets count. Our study aims to compare the combination of the Ilioinguinal-iliohypogastric (ILIH) nerve block with the Transverse Abdominis Plane block (TAB) versus the Ilioinguinal-iliohypogastric (ILIH) nerve block alone as a sole anesthetic technique in hepatic patients with liver cirrhosis for surgical repair of inguinal hernia.Methods: Sixty patients known to have chronic liver disease and liver cirrhosis undergoing unilateral repair of inguinal hernia were randomly assigned to two equal groups: Group (T) received ipsilateral transverse abdominis plane block (TAB) ultrasound-guided (US) in combination with Ilioinguinal-iliohypogastric (ILIH) nerve block intraoperatively. Group (I) received US-guided ipsilateral Ilioinguinal-iliohypogastric nerve block only intraoperatively. The degree of pain was evaluated using the VAS score for pain hourly for the first 6 h and at 12, 18, and 24 h postoperatively. Need for LA infiltration into surgical field or the conversion to GA was assessed. Onset of sensory block, duration of analgesia, the use of rescue analgesia and its total dose in 24 hours, the patient’s and surgeon’s satisfaction and any adverse events were recorded. Liver functions were measured 24 h postoperatively.Results: The duration of analgesia was significantly longer in group (T) (14.27 ± 2.5 hours) than in group (I) (11.81 ± 2.9 hours; p = 0.039). The total required dose of acetaminophen in first 24 hours was higher in group (I) (1.1 ± 0.81 gm) than in group (T) (0.6 ± 0.94 gm; p = 0.021).There was no significant difference between groups in onset of sensory block, need for LA infiltration, need for GA, or incidence of postoperative side effects. Patients’ satisfaction was statistically better in group T compared to group I whereas there was no statistical significant difference between both groups regarding surgeon’s satisfaction.Conclusion: Combined Transverse Abdominis plane block (TAB) with Ilioinguinal-iliohypogastric (ILIH) nerve block has longer duration of analgesia and less dose of rescue analgesia with more patient satisfaction than the use of Ilioinguinal-iliohypogastric (ILIH) nerve block in surgical repair of inguinal hernia in chronic hepatic patients with liver cirrhosis.

Effects of combined Pulsed Dye Laser and Fractional CO2 Laser treatment of burn scars and correlation with plasma levels of collagen type I, MMP-2 and TIMP-1

Hypertrophic burn scars remain a significant burden for patients and a challenge for clinicians. The aimAssessement of the efficacy of combined Pulsed Dye Laser and Ablative Fractional CO2 Laser therapy on hyperthophic scars and correlation with plasma levels of MMP-2, TIMP-1 and alpha-1 type I collagen. Patients and methodsTwenty five pediatric subjects were enrolled into the study. Control group consisted of age-matched subjects admitted for surgical repair of inguinal hernia. For the assessment of the results of laser treatment we used the Vancouver scar scale (VSS), and Patient-Observer Scar Assessment Scale (POSAS). We also correlated clinical results with plasma levels of MMP-2, TIMP-1 and alpha-1 type I collagen. ResultsAll subjects reported the laser treatment resulted in improvement and were somewhat satisfied or very satisfied with their experience. No adverse events were reported. The levels of MMP-2, TIMP-1 and alpha-1 type I collagen in our patients with scars before laser threatment were higher in comparison to controls. We also found statistically significant decrease in the levels of MMP-2, TIMP-1 and alpha-1 type I collagen after laser treatment of burn scars ConclusionsOur study clearly shows that combined CO2-AFL treatment for burn scars improve texture, colour, function and alleviate pruritus. We believe that decrease in the levels of MMP-2, TIMP-1 and alpha-1 type I collagen after laser treatment of burn scars, reflects reduced dynamic of scar.

PROFILE OF THE PATIENTS WHO UNDERWENT PROLENE HERNIA SYSTEM EXTENDED FOR INGUINAL HERNIA IN A TEACHING INSTITUTE IN SUBHIMALAYAN REGION

Introduction: Worldwide, inguinal hernia repair is probably the most commonly performed general surgical procedure. Hence, a slight refinement of surgical repair of inguinal hernia would mean a substantial benefit to the patient. Aim: The study aimed to study profile of the patients who underwent Prolene Hernia System Extended (PHSE) for Inguinal Hernia in a teaching institute in Sub-Himalayan region. Materials and Methods: This was a controlled study conducted over 30 adult patients of both genders admitted at Dr RPGMC Tanda at Kangra from September 2016 to September 2017. Patients clinically diagnosed with inguinal hernias both direct and indirect on examination were enrolled in the trial after their informed consent. Results: Mean age of the patients was 54.9±13.66 years (range 30 to 80 years). 33% of the patients were elderly. All the patients were males. 43% of the patients were smokers and 53% were consuming alcohol. 20% of the patients had associated co-morbidities. 7% patients had previous history of surgery. Fifty percent of the patients had direct hernia while 33% had indirect hernia. Among 10% patients, it was bubonocele type. Seven patients had complications. Scrotal swelling was the most common welling (n=3) followed by inguinodynia (n=2), and seroma formation and urinary retention in one patient each. Conclusion: PHSE for management of inguinal hernia is associated with better outcomes.

A Comparative Study between Laparoscopic Inguinal Hernia Repair and Open Lichtenstein Mesh Repair

AbstractBackground: This prospective study was conducted in a university hospital for comparing the results of two different techniques for surgical repair of inguinal hernia: Open mesh repair and laparoscopic mesh repair to detect the effectiveness of each operation and complications if any.Aim of Study: The aim of this work is to compare the results of mesh repair of inguinal hernia by open technique and by laparoscopic transabdominal preperitoneal technique (TAPP).Patients and Methods: The study included 92 cases of an inguinal hernia. They were selected by nonprobability sampling method. These cases were operated at Al Hussein University Hospital between January 2016 to September 2018. Inclusion criteria included patients with uncomplicated hernia. The age/sex, incidence, BMI, mode of presentation, co-morbidities, operative time, postoperative complications, pain and return to work were all evaluated and compared with many of standard published literature.Results: Postoperative wound infection developed in 6 cases of open hernioplasty and 1 case in laparoscopic surgery. Seroma at the operated site were found in 5 cases of open hernioplasty. The return to normal daily activity was 21 days after open technique compared to 13 days in TAPP. The mean duration of procedure was 59.5min in open surgery while it was 99min in laparoscopic group.Conclusion: Laparoscopic hernioplasty has a comparable result with an open procedure which should be considered in the surgical treatment of inguinal hernia.

Unilateral Renal and Spermatic Cord Agenesis Accompanying to the Ureteral Extraperitoneal Inguinal Herniation in An Infant

Ureteroinguinal herniation is a rare event, usually diagnosed during the surgical repair of inguinal hernias and most reported cases have occurred in obese men during the fifth and sixth decades of life. Here, we describe the first case of unilateral renal and spermatic cord agenesis accompanying to the ureteral inguinal herniation in an infant.

Inguinal hernia surgery in Korea: nationwide data from 2007-2015.

PurposeThe aim of this study is to analyze inguinal hernia in Korea based on the nationwide data.MethodsRetrospective analysis of nationwide data obtained from the Health Insurance Review & Assessment Service database for surgical repair of inguinal hernia from January, 2007 to December, 2015 was performed.ResultsA total of 314,238 cases of inguinal hernia surgery were performed during 9 years. The mean number of inguinal hernia surgery per year was 34,604 (range, 30,065–36,928). The proportion of male patient was 87%. Patients between the age of 1 to 5 years (17.3%) and of 60 to 69 years (17.4%) constituted the 2 dominant groups for inguinal hernia repair. A slight increase in repair for recurrent inguinal hernia, 1.9% to 3.2%, was observed from 2007 to 2015. The rate of concurrent bowel resection decreased from 1.9% to 0.6%. The total cost of inguinal hernia surgery was increased up to 1.68 times from 2007 to 2015 ($856 to $1,439), although the number of hospital days was decreased from 4.7 to 3.7 days. The rate of laparoscopic surgery was increased to 29.5% in 2015.ConclusionA mean number of 34,604 cases of inguinal hernia surgery have been carried out annually in Korea. The age distribution for inguinal hernia repair demonstrates bimodal peak at early childhood and old age. The proportion of laparoscopic surgery of inguinal hernia has been increasing for the past 9 years. The length of hospital stay and the rate of combined bowel resection have decreased.

The effect of chronic constipation on the development of inguinal herniation.

To investigate the effect of constipation on the development of inguinal herniation and type of herniation using the Constipation severity scale. A total of 100 patients who underwent surgical inguinal hernia repair (study group) and 100 healthy volunteers without inguinal herniation (control group) were included in this study. The constipation severity scale was administered to all patients. The type of the herniation was classified using Nyhus scale during surgery and the side of the herniation was recorded on completed questionnaires. The obstructive defecation sub-scale score, colonic inertia sub-scale score, pain sub-scale score, and the total score were recorded for each patient and the association between constipation and the development of inguinal herniation was investigated. The mean age of patients in Group 1 and 2 was 40.92±17.80 and 33.71±9.13, respectively. There was a significant difference between the two groups in terms of obstructive defecation and colonic inertia sub-scale scores (p<0.01). In addition, except for the pain sub-scale score, there were significant differences between Nyhus hernia types with regard to sub-scale scores of the constipation severity scale in patients in Group 1 (p<0.01). Significantly higher obstructive defecation subscale, colonic inertia subscale, pain subscale, and total scores in the study group as compared to controls shows that constipation may represent an important etiological factor for the development of inguinal herniation.