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Inguinal hernia is one of the most common abdominal wall disorders, accounting for approximately 75% of all hernia cases, with 50% classified as lateral inguinal hernias, and it occurs more frequently in older adults. We report a 57-year-old male patient who was admitted to the hospital with a complaint of a lower abdominal mass. The mass initially appeared in the right inguinal region one year prior and subsequently developed in the left inguinal region two months later. The swelling progressively increased in size. Intermittent pain, predominantly on the left side, had been present for the past month without associated nausea, vomiting, or fever. Physical examination revealed a moderately ill general condition, stable vital signs, and a soft, tender mass in both inguinal regions. Based on the clinical history, physical examination, and supporting investigations, the patient was diagnosed with bilateral irreducible lateral inguinal hernia. The patient received intravenous Ringer’s lactate and intravenous ketorolac, followed by an elective herniorrhaphy using Lichtenstein Tension-Free Repair Technique under spinal anesthesia. The operation was completed successfully without intraoperative complications.

Inguinal hernia is a condition where a bulge occurs in the groin area and is the most common type of hernia with 75% of all abdominal wall hernias. The diagnosis of inguinal hernia can be made easily through physical examination, where the lump can be seen or felt when pressed on the external inguinal ring. In this case study, a 51-year-old man complained of a lump on the right underarm to the scrotum area that had been painful since 1 day before admission to the hospital. The lump had been felt since 2 years ago, but the lump seemed to disappear. The patient was diagnosed with incarcerated lateral inguinal hernia from the results of anamnesis, physical examination, supporting examination, and performed hernioraphy with mash graft.

Inguinal hernia is a condition of protrusion of all or part of an organ through the locus minoris in the abdominal wall. The incidence of inguinal hernia is quite high, in the world there are approximately 20 million hernia repairs done every year. Hernia repair surgery is considered good if it does not experience recidivism, there are no complications, costs are not too expensive, and patients can immediately carry out their work routines. The incidence of residive hernia is influenced by many factors, including factors from the surgeon, namely the knowledge and skills of the surgeon, the selection of surgical techniques and meshes used, mesh fixation techniques, mesh size, lateral and medial hernia bag management, sliding hernias, lipomas in the inguinal canal, operating time, types of anesthesia, postoperative complications This study aims to determine the incidence of inguinal hernia and recidival inguinal hernia, Surgical techniques used and risk factors associated with recidivist inguinal hernia. This study used a cohort retrospective research design, sampling was carried out in total sampling on inguinal hernia patients who had undergone surgery in 10 government and private hospitals in North Aceh Regency and Lhokseumawe City as many as 1109 patients in the period 2018 to 2021. The results of this study found that the most hernia sufferers found in peripheral hospitals in Aceh were mostly under 60 years old with the most gender being men. The most common risk factors for inguinal hernia are people who are obese, have a history of heavy physical activity, have a history of chronic cough and have a history of constipation. Surgical techniques that are widely used in hernia management are surgical techniques using mesh graft and most patients with ingunal hernias do not experience recidivism.  

 Hernia yang merupakan salah satu penyebab dari tingginya rawat inap, salah satu faktor yang memicu kasus hernia adalah faktor usia. Definisi dari hernia adalah suatu protrusi atau penonjolan isi suatu rongga melalui defek di dinding rongga tersebut. Kasus hernia yang paling sering terjadi adalah hernia inguinalis. Penelitian ini bertujuan untuk meneliti prevalensi dan karakteristik pasien hernia inguinalis di RSUD Prof. Dr. Margono Soekarjo Purwokerto selama periode Januari 2021- April 2022. Penelitian ini adalah penelitian deskriptif dengan metode cross sectional. Berdasarkan penelitian frekuensi kelompok terbanyak dalam penelitian ini adalah kelompok usia 0 sampai 11 tahun dengan presentase 34.4%. Terdapat tren peningkatan kejadian hernia sesuai dengan peningakatan usia pasien. kurva naik  yang berarti semakin tingginya usia sejalan dengan kasus hernia inguinalis. Kesimpulan dari penelitian ini adalah prevalensi pasien hernia inguinalis di RSUD Prof. Dr. Margono Soekarjo Purwokerto adalah 3% dengan rasio laki-laki : perempuan = 5:1 dan frekuensi terbanyak usia 0-11 tahun (34.4%).