Traditional inguinal hernia repair 5 major methods
- Sep 25, 2018 -

The modern meaning of inguinal hernia repair has been more than 100 years old, and the technology update is changing with each passing day. It can be divided into two major stages: the first generation repair (1880s - 1980s) traditional abdominal hernia repair Second-generation repair (from the 1980s to the present), no tension, abdominal hernia repair, third-generation repair (from the 1990s to the present) laparoscopic abdominal hernia repair.

The originator of the first generation of repair was the Italian surgeon: Edoardo Bassini, who invented the Bassini repair in 1884. The main points of the operation were: high ligation of the hernia sac, free spermatic cord and displacement, incision of the transverse fascia, Repair the inner ring, strengthen the posterior wall of the inguinal canal and other links.

In the more than 100 years of Bassini's invention of Bassini疝 repair, there have been more than 200 surgical procedures, the most representative of which are: Halsted repair in 1889, Furguson repair in 1890 and McVay repair in 1948. . I have to mention one person, Edward Earle Shouldice, a Canadian surgeon who is a great contributor to sputum surgery. In 1953, Shouldice proposed a transverse fascia repair that is a low-tension four-layer suture. The recurrence rate of abdominal hernia is only 0.8%, which was once known as the gold standard for hernia repair.

01 Bassini method

Strengthen the inguinal canal to guide the posterior wall. Applicable to adults with inguinal hernia, straight hernia, and generally weak abdominal wall.

02 Halsted Method

Strengthen the posterior wall of the inguinal canal. It is suitable for the severely weak oblique hernia of the abdominal wall muscle, but due to the higher displacement of the spermatic cord, it may affect its development and is not suitable for children and young patients.

03 FerguSon method

Strengthen the anterior wall of the inguinal canal. It is suitable for small oblique tendons of children and young people with no obvious defects in the abdominal transverse aponeurosis bow and the posterior wall of the inguinal canal.

04 Mcvay Law

Strengthen the posterior wall of the inguinal canal. Applicable to adults with severe abdominal muscles, the elderly and recurrent slalom and hernia.

05 Shouldice method

The focus of repair is on the level of the transverse fascia. It has been widely used since the 1970s and is suitable for larger adult inguinal hernias and straight hernias.


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