c l i n i c a l f o l i o s : n a r r a t i v e





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Informed Patient's FAQ on Hernia Repair: 16

A D V E R T I S E M E N T

   
 

       

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Informed Patient's FAQ on Hernia Repair: 17

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Modern hernia surgery has developed over the past 100 years to the point that there are several variations of hernia repair that have proven long term track records and reliability. These repairs involve sewing strong tissue at the margins of a hernia defect together. The recurrence rate in the hands of experts has been recorded in the 1-5% range. More recent studies of the population as a whole has identified a true long term rate that may be closer to 15% or higher. The most popular types of this natural tissue hernia repair are the iliopubic tract repair (e.g.. Bassini, Shouldice) and the pectineal ligament repair (McVay).    

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Informed Patient's FAQ on Hernia Repair: 18

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An alternative approach introduced a number of years ago involved putting a piece of prosthetic mesh in the layer just behind the muscles of the abdominal wall to cover the defect. This involved a significant size incision and often was done for large hernias using a large piece of mesh (Stoppa). Others (Nyhus, Condon) have used a smaller piece of mesh for routine hernias. This open approach to internal mesh placement has been abandoned for reasons that will be evident as you read on.     

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This page was last modified on 2/15/1999.