mesh is placed on the abdominal wall in inguinal hernia repair.
mesh is placed on the abdominal wall in inguinal hernia repair.
where is mesh placed in inguinal hernia repair?
abdominal wall
surgical repair of inguinal hernias is one of the most commonly performed operations worldwide and the most commonly performed surgery within the united states. a combined 20 million cases of both inguinal and femoral hernia repair are performed every year around the world with 800,000 cases in the us as of 2003. the uk reports around 70,000 cases performed every year. groin hernias account for almost 75% of all abdominal wall hernias with the lifetime risk of an inguinal hernia in men and women being 27% and 3% respectively. men account for nearly 90% of all repairs performed and have a bimodal incidence of inguinal hernias peaking at 1 year of age and again in those over the age of 40. although women account for roughly 70% of femoral hernia repairs, indirect inguinal hernias are still the most common subtype of groin hernia in both males and females.
inguinal hernia surgery
the first efficient inguinal hernia repair was described by edoardo bassini in the 1880s. in the bassini technique, the conjoint tendon (formed by the distal ends of the transversus abdominis and internal oblique muscles) is approximated to the inguinal ligament and closed.









































section::::surgical approaches.:open hernia repair.:open non-mesh repairs.:other open non-mesh techniques.









































the shouldice technique was itself an evolution of prior techniques that had greatly advanced the field of inguinal hernia surgery. such classic open non-mesh repairs include:









































bullet::::- mcvay technique









































bullet::::- halsted









































bullet::::- maloney darn









































bullet::::- plication darn
inguinal hernia surgery