Tissue Repairs for Inguinal Hernia

  • Nicholas H. Carter
  • David C. Chen


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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© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Residency in General Surgery, Vanderbilt University Medical CenterNashvilleUSA
  2. 2.Department of SurgeryLichtenstein Amid Hernia Clinic at UCLA, David Geffen School of Medicine at UCLALos AngelesUSA

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