Recurrent inguinal hernia.

Abstract:

:An analysis of 584 operations for recurrent inguinal hernia was made in an attempt to determine the cause of the recurrence based on the anatomic findings. The recurrence was indirect in 300, direct in 241, and various other in 43 operations. The causes of the indirect recurrences appeared to be an unrecognized hernia, incomplete dissection or improper ligation of the sac, failure to narrow the cord, or inadequate reconstruction of the internal ring. No cause for the diffuse direct recurrences was apparent. Of the 241 hernias in Hesselbach's triangle, 144 were small localized defects, usually (112) just lateral to the symphysis. These were considered to be caused by the cutting action of a suture placed under tension. On the basis of these findings, suggestions are made for primary inguinal hernia operations.

journal_name

Ann Surg

journal_title

Annals of surgery

authors

Postlethwait RW

doi

10.1097/00000658-198512000-00019

subject

Has Abstract

pub_date

1985-12-01 00:00:00

pages

777-9

issue

6

eissn

0003-4932

issn

1528-1140

journal_volume

202

pub_type

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