Abstract
From 2 per cent to 5 per cent of all indirect inguinal hernias are of the sliding variety. (Sliding hernias are those in which part of the wall of the sac is formed by a viscus.) The proportion of sliding hernias is even higher in the aged. Hernias of this kind are found almost exclusively in males and usually on the left side.
Preoperative diagnosis is not essential if the surgeon can recognize the lesion at operation and knows how to repair it properly. The LaRoque technique in which the peritoneal cavity is entered above the internal ring allows accurate definition of the pathological anatomy and effective repair of the hernia. It should be used in all true sliding indirect inguinal hernias.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- HAGAN W. H., RHOADS J. E. Inguinal and femoral hernias; a follow-up study. Surg Gynecol Obstet. 1953 Feb;96(2):226–232. [PubMed] [Google Scholar]
- KOONTZ A. R. The operation for difficult sliding hernia of the large bowel. Am Surg. 1952 Jan;18(1):78–84. [PubMed] [Google Scholar]
- Moschcowitz A. V. THE RATIONAL TREATMENT OF SLIDING HERNIA. Ann Surg. 1925 Jan;81(1):330–334. doi: 10.1097/00000658-192501010-00030. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SENSENIG D. M., NICHOLS J. B. Sliding hernias; a follow-up study. AMA Arch Surg. 1955 Nov;71(5):756–760. doi: 10.1001/archsurg.1955.01270170114021. [DOI] [PubMed] [Google Scholar]
- Williams C. Repair of Sliding Inguinal Hernia Through the Abdominal (Laroque) Approach. Ann Surg. 1947 Oct;126(4):612–622. [PMC free article] [PubMed] [Google Scholar]
