Abstract
One hundred consecutive recurrences following repair of inguinal hernias have been studied; 62 were direct, 30 indirect, 7 pantaloon and one a femoral hernia. Half the indirect recurrences occurred within a year of repair and probably represented failure to detect a small indirect sac. Later indirect recurrences probably represented failure to repair the internal ring. Nine of the direct hernias were medial funicular recurrences and represented failure to anchor the darn medially. The rest of the direct recurrences were attributable to tissue insufficiency and could probably have been averted by larger tissue bites.
Recurrences following inguinal herniorrhaphy remain an all too common problem but can be reduced by meticulous surgical technique.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Conner W. T., Peacock E. E., Jr Some studies on the etiology of inguinal hernia. Am J Surg. 1973 Dec;126(6):732–735. doi: 10.1016/s0002-9610(73)80059-5. [DOI] [PubMed] [Google Scholar]
- Halverson K., McVay C. B. Inguinal and femoral hernioplasty. Arch Surg. 1970 Aug;101(2):127–135. doi: 10.1001/archsurg.1970.01340260031005. [DOI] [PubMed] [Google Scholar]
- Jenkins T. P. Incisional hernia repair: a mechanical approach. Br J Surg. 1980 May;67(5):335–336. doi: 10.1002/bjs.1800670511. [DOI] [PubMed] [Google Scholar]
- MOLONEY G. E. Results of nylon-darn repairs of herniae. Lancet. 1958 Feb 8;1(7015):273–278. doi: 10.1016/s0140-6736(58)91027-4. [DOI] [PubMed] [Google Scholar]
- McVAY C. B., CHAPP J. D. Inguinal and femoral hernioplasty; the evaluation of a basic concept. Ann Surg. 1958 Oct;148(4):499–512. [PMC free article] [PubMed] [Google Scholar]
- Palumbo L. T., Sharpe W. S. Primary inguinal hernioplasty in the adult. Surg Clin North Am. 1971 Dec;51(6):1293–1307. doi: 10.1016/s0039-6109(16)39583-4. [DOI] [PubMed] [Google Scholar]
- Quillinan R. H. Repair of recurrent inguinal hernia. Am J Surg. 1969 Oct;118(4):593–595. doi: 10.1016/0002-9610(69)90192-5. [DOI] [PubMed] [Google Scholar]
- SHUTTLEWORTH K. E., DAVIES W. H. Treatment of inguinal herniae. Lancet. 1960 Jan 16;1(7116):126–127. doi: 10.1016/s0140-6736(60)90051-9. [DOI] [PubMed] [Google Scholar]
- Thieme E. T. Recurrent inguinal hernia. Arch Surg. 1971 Aug;103(2):238–241. doi: 10.1001/archsurg.1971.01350080154023. [DOI] [PubMed] [Google Scholar]