Inguinal hernia surgery erasmus university rotterdam. Suture and meshbased techniques can be used, and the procedure can be either open. Edoardo bassini developed the first modern anatomically based hernia repair. The incidence of recurrent hernia after primary repair of a groin hernia varies from 1% in specialized centers to 30% in general surveys. This procedure spread worldwide becoming the most performed sur gical. In the past decade hernia surgery has been challenged by two new technologies. Sports hernia treatment modified bassini versus minimal repair article pdf available in sports health a multidisciplinary approach 55. The authors stress the differences between these two techniques by reporting and comparing the results obtained during four years of operating on 381 patients with the bassini technique and 357 with the lichtenstein technique. The first efficient inguinal hernia repair was described by edoardo bassini in the. Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. Seventyfive hernias were corrected using the mcvay technique. The medical records of 38 patients who underwent femoral hernia repair between march 2006 and november 2011 were retrospectively analyzed. This section of the quiz is composed of 8 questions relating to the development of the inguinal canal. Inguinal hernia, open repair, lichtenstein repair, morbidity, recurrence introduction.
The most common type of hernia can be found in the groin and is known as an inguinal hernia. Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that. The effect of changing from bassini to lichtenstein repair in 1994 was evaluated. The processus vaginalis must be patent for this type of hernia to occur. Since the introduction of the bassini method in 1887, more. Anatomy of inguinal canal oblique passage in the lower part of the anterior abdominal wall, situated just above the medial half of the inguinal ligament.
A hernia is a bulge, which develops because of a weakness in the abdominal wall. Amyands herniaa vermiform appendix presenting in an. An inguinal hernia is a bulging of the intestine through a defect or weak spot in the wall of the lower abdomen. For over 70 years the surgeons and staff of shouldice hospital have dedicated themselves to repairing abdominal wall hernias. There is no doubt that the first appearance of the mammal, with his unexplained need to push his testicles out of their proper home. We retrospectively studied 963 caucasian patients with inguinal hernia who were admitted to our surgical department over a 12year period. Abd wall hernias university of tennessee college of medicine. The bassini technique for inguinal hernia repair involves suturing the transversalis fascia and the conjoined tendon to the inguinal ligament behind the spermatic cord with monofilament.
Femoral hernioplasty was performed with original mesh repair or ruggis repair plus iliopubic tract repair or bassini s repair. The most commonly used method in mulago hospital is modified bassini. The main aim of this study was to compare the shortterm out come of desardas versus modified bassini inguinal hernia repair. Mesh repair of inguinal hernia is much superior to nonmesh repair in terms of recurrence and postoperative chronic pain. Welcome to shouldice hernia hospital, the global leader in. Historical evolution of inguinal hernia repair springerlink.
Inguinal hernia repair is the most common general surgical procedure in industrialized countries, with a frequency of about 200 operations per 100 000 persons per year. What is the bassini repair technique for open inguinal hernia repair. Pdf sports hernia treatment modified bassini versus. They can occur at any age and in different parts of the abdomen. Inguinal hernia repair with biodesign surgisis david edelman, md 1. Here we present a case series of four men with amyands hernia. Updated topics in minimally invasive abdominal surgery 158 the results of anatomical hernia repair were a large step forward, however recurrences kept. Richters hernia involves the antimesenteric surface of the intestine within the hernia sac and may present with partial intestinal obstruction.
Bassini halsted andrews shouldice mcvay 6 which is the most commonly used open technique and an anterior approach. The demand by health care providers for increasingly efficient and costeffective surgery has resulted in modifications to pathways of care to. This study analysed the changes in the practice of one surgeon in a district general hospital over a seven year interval. Management of strangulated inguinal hernia is certainly not free from complications. When analyzing original articles since the sixteenth century, it becomes apparent that all surgical techniques for repair of the inguinal hernial orifice can be traced back to two simple repair principles. Tensionfree repair ensures better local conditions result. It wasnt until 1887 that the real breakthrough in the treatment of inguinal hernia came. The bassini technique for inguinal hernia repair involves suturing the transversalis fascia and the conjoined tendon to the inguinal ligament. Indirect inguinal hernias, congenital hernias, hernias in pregnant women, recurrent hernias and all complicated hernias were excluded.
Hernia con componente directo e indirecto juntos, hernia en pantalon. Totally, 150 candidate patients for inguinal herniorrhaphy were randomly divided into two groups. Hernia inkarserata adalah hernia ireponibel ditambah jepitan usus sehingga memberikan tandatanda ileus obstruktivus. Indirect inguinal hernia an indirect inguinal hernia occurs when any intraabdominal structure protrudes through the deep inguinal ring entering the inguinal canal. Pdf bassini repair compared with laparoscopic repair for. Afterwards he started to perform inguinal hernia operation with the techniques of wood and heaton but all operated hernias recurred. We report the case of an 80yearold male patient presented with irreducible and painful swelling over the right inguinal region and features of intestinal obstruction.
The most commonly performed tissue repairs are those of bassini, shouldice, and to a lesser extent. The floor of the inguinal canal hasselbachs triangle is tightened by sewing the transversalis and internal oblique fascia conjoined tendon to the inguinal ligament pouparts ligament. The basic advantage of the modern mesh technique either this is placed with the open or laparoscopic approach is that the repair is fashioned without tension. The high incidence of cpip up to 37%2124 leads in 11% to 17% of patients to various types of social disability. What is the bassini repair technique for open inguinal.
Eduardo bassini 18441924 is the progenitor of modern hernia repair fig. Manual reduction of the inguinal hernia and the use of herniary belts. A comparative study between modified bassinis repair and. Two techniques for inguinal hernia treatment are compared. Bassini, in 1884, devised a method of hernia repair that called for a threelayer reconstruction of the. Groin hernia is the commonest type of abdominal wall hernias. Comparison of desarda versus modified bassini inguinal.
This study aims to evaluate and compare the results of inguinal herniorrhaphy with mesh in classic and preperitoneal method. Eduardo bassini revolutionized the treatment of inguinal hernias by the introduction of a technique designed to restore the area of the hernial orifice. In the tensionfree mesh repair category, the mesh is. Staples may safely be placed during laparoscopic hernia repair in each of the following structures except. The founder of modern hernia surgery is bassini from padova italy, who performed the first anatom ic hernia groin repair in 1887 bassini, 1887. The minimal repair technique allows athletes with sports hernias to return to play faster than patients treated with the modified bassini.
In the study, the overall morbidity was 30% with no mortality showing better results than the study reported by alvarez ja, et al14 where the overall morbidity was 41. They pointed to a prohibitive high failure rate when dealing with the bassini technique, which was, over a century, the most popular treatment of inguinal hernia all over the world. Bassini shouldice hernioplasty is indicated in all indirect hernia repair it consist of high ligation of the sac and approximation of the conjoined tendon and the internal oblique muscle to the shelving of the inguinal ligament with interrupted sutures. The aim of this study was to compare the effectiveness and safety of laparoscopic and conventional open repair in the treatment of inguinal hernia. A vermiform appendix in an inguinal hernia, inflamed or not, is known as amyands hernia. Lichtenstein mesh repair lmr vs modified bassinis repair mbr. The presence of a strangulated inguinal hernia cannot be considered a contraindication for the use of a prosthetic mesh, although the use of traditional repairs, such as the bassini repair in strangulated inguinal hernia is a common practice. Many comparative randomized trials have showed that in open hernia repair, lichtenstein tension free repair is superior to traditional tissue approximation methods 4,5. The processus vaginalis must be patent for this type of hernia. It constituted a real advance in the surgical treatment of hernia at that time, and has. Recurrence after groin hernia repairrevisited sciencedirect.
In order to achieve a radical cure of hernia it is absolutely essential to restore those conditions in the area of the hernial orifice, which exist under normal conditionsedoardo bassini. During the premesh era, it was estimated that primary inguinal hernia repairs had a 10%30% recurrence rate and that the rate was 35% for recurrent hernia repairs. Bassini 1889 fathers of inguinal hernia repair marcy 1871 original paper on antiseptic hernia repair with closure of internal ring jama 1887 the cure of hernia bassini reported 1887, published 1889 halsted november 1889 modified bassini repair. The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s.
It extends from the deep inguinal ring to the superficial inguinal ring. Many types of hernia repair are described, traditional methods like modified bassini s repair, shouldice repair and lichtenstein mesh repair and now laparoscopic mesh repair. Our study community includes 150 candidate patients for inguinal herniorrhaphy with mesh. Bassini repair compared with laparoscopic repair for primary inguinal hernia. Bassini or mcvay reconstructive surgery techniques. Surgical registrar, woodenidoldmill emergency hospitals, aberdeen in 1883 bassini published the description of his operation for the repair of inguinal hernia. This video shows how inguinal hernias form and how they are treated. The surgeries were performed by two experienced surgeons and divided into two groups. Biomed research international hindawi publishing corporation.
Comparison of cost effectiveness and return to work among agricultural labourers s p sinha1, siddharth sinha2 1 m. Inguinal hernias are the commonest of all hernias, surgery is the definitive treatment and hernia repair is the most commonly performed general. Direct inguinal hernias are less likely to present as incarceration or strangulation as compared to indirect inguinal hernia, because they have wide neck. Intervento chirurgico con tecnica di bassini per ernia inguinale indiretta in anestesia locale. Background inguinal hernia surgery has undergone numerous advances in the last few years.
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