Tissue Repairs for Inguinal Hernia
Although recent decades have seen proliferation of tension-free mesh techniques, the tissue-based inguinal hernia repair remains a critical element of every general surgeon’s arsenal. Proficiency in tissue-based repair is crucial in circumstances where synthetic mesh placement is contraindicated, undesirable, or unavailable. In this chapter, we describe the indications and techniques for performing the four modern tissue-based repairs: Bassini, Shouldice, McVay, and Desarda procedures. With appropriate patient selection, sound understanding of inguinal anatomy, and meticulous attention to operative technique, these repairs can achieve favorable outcomes.
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