Changing Concept of Inguinal Herniorrhaphy

Abstract

AFTER having repaired inguinal hernias by the conventional anterior approach for over a decade and noting the development of an occasional recurrence at the site of the internal ring or in the direct area, Dr. Dyson in 1961 was receptive to a new approach to herniorrhaphy. The report of Nyhus and associates¹concerning their recent success with the preperitoneal herniorrhaphy provided this new approach and led to the adoption of this method for the repair of all groin hernias. It appeared worthwhile to reexamine each patient having had a groin hernia repaired by this technique over the past 3½ years. Having done this, we felt the results obtained were of sufficient interest to warrant reporting. These results have led to our modifying the method utilized for the repair of inguinal hernias. <h3>Method</h3> The technique employed over the past 3½ years was essentially that of Nyhus et al.¹A