Surgery
Volume 24, Issue 7 , Pages 239-245, 1 July 2006

Adult groin hernias: acute and elective

  • Michael Nelson, FRCS(Ed) FRCS

      Affiliations

    • Michael Nelson FRCS(Ed) FRCS is a General Surgeon at Charing Cross Hospital, London, UK.
  • ,
  • Brian M Stephenson, FRCS

      Affiliations

    • Brian M Stephenson FRCS is a Consultant General and Colorectal Surgeon at the Royal Gwent Hospital, Newport, UK.

Abstract 

The science of groin herniorrhaphy has evolved greatly over the last twenty years. There have been many developments by surgeons such as Halsted, McVay, Maloney and Shouldice since Bassini's pioneering work in 1887. Their aim was to teach the principles of repair so that the ‘average’ surgeon may attain acceptable recurrence rates. This review discusses crucial features of adult groin hernias, including anatomical considerations, prosthetic material, anaesthesia, inguinal hernias, femoral hernias, and complications of groin hernia repair.

Keywords:  abdominal surgery , prosthetic material , Lichtenstein repair , plug and patch repair , inguinal hernia , bilayer repair , laparoscopic repair , transabdominal preperitoneal repair , totally extraperitoneal approach , transinguinal repair , wound problems , scrotal problems , hernioplasty , tension-free repair

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PII: S0263-9319(06)70711-6

doi:10.1383/surg.2006.24.7.239

Surgery
Volume 24, Issue 7 , Pages 239-245, 1 July 2006