Developments in Hernia Repair

Abstract:

Traditionally, inguinal hernia repair uses autogenous tissues (Shouldice, Bassini, Cooper's). While dedicated hernia clinics have shown low recurrence rates using autogenous tissues, most studies show recurrence rates in the 5% to 15% range. In addition, these tension producing repairs may lead to a longer recovery due to increased discomfort. For these reasons, the recent trend in inguinal hernia surgery has been towards using a mesh-based tensionless repair. There are three main tension-free approaches using mesh that are presently receiving the majority of attention.

Authors:

Guy Voeller, M.D., F.A.C.S. - University of Tennessee, Memphis, Tenn.

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