{"id":676,"date":"2019-06-17T04:03:33","date_gmt":"2019-06-17T04:03:33","guid":{"rendered":"https:\/\/www.drrpadmakumar.com\/blog\/?p=676"},"modified":"2025-12-02T09:53:07","modified_gmt":"2025-12-02T09:53:07","slug":"introduction-to-hernia","status":"publish","type":"post","link":"https:\/\/www.drrpadmakumar.com\/blog\/introduction-to-hernia\/","title":{"rendered":"Introduction to Hernia"},"content":{"rendered":"\n

Repair of inguinal hernia is one of the commonest surgical procedures performed worldwide. The lifetime risk for men is 27% and for women, it is 3 %.<\/p>\n\n\n\n

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\u201cNo disease of the human body, belonging to the province of the surgeon, requires in its treatment, a better combination of accurate, anatomical knowledge with surgical skill than hernia in all its variants.\u201d <\/p>\n\n\n\n

Sir Astley Paston Cooper, The Anatomy and Surgical Treatment of Inguinal and Congenital Hernia, Cox, London, 1804.<\/em><\/p>\n<\/div><\/div>\n\n\n\n

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\u201cI know more than hundred surgeons whom I would cheerfully allow to remove my gallbladder but only one to whom I should like to expose my inguinal canal.\u201d<\/p>\n\n\n\n

Sir Henage Ogilvie<\/em><\/p>\n<\/div><\/div>\n\n\n\n

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History of Hernia Repair<\/h2>\n\n\n\n\n\n\n\t\n\n\t\n\t\n\t\n\t\n\t\n\t\n\t\n\t
Year<\/th>Proponent and Procedure details<\/th>\n<\/tr>\n<\/thead>\n
1884<\/td>Edoardo Bassini
\nIntroduced the modern era of herniorrhaphy.
\n Bassini\u2019s method relies on a musculoaponeurotic repair to reconstruct the inguinal canal.<\/td>\n<\/tr>\n
1945<\/td>Edward Earle Shouldice
\nFour layer repair<\/td>\n<\/tr>\n
1958<\/td>Francis C. Usher
\nUsed polypropylene as first successful synthetic prosthesis.<\/td>\n<\/tr>\n
1964<\/td>Irving L. Lichtenstein
\nTension free open mesh repair. Till now it is the standard evidence-based operation.<\/td>\n<\/tr>\n
1973<\/td>Rene Stoppa
\nGPRVS (Giant Prosthetic Reinforcement of Visceral Sac) \/ Open preperitoneal mesh repair (Significantly reduced recurrence rate for multi-recurrent groin hernias). He reiterated the advantages of posterior approach.<\/td>\n<\/tr>\n
1982<\/td>Ralph Ger
\nThe first laparoscopic hernia repair by approximating the internal ring with stainless steel clips.<\/td>\n<\/tr>\n
1992<\/td>Maurice E. Arregui and Yves Marie Dion TAPP(Transabdominal preperitoneal repair)<\/td>\n<\/tr>\n
1992<\/td>Ferzli et al., Dulucq, Himpens, and McKernan & Laws, TEP(Total extraperitoneal repair)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n

Both the techniques of laparoscopic hernia repair reproduce the concept of Stoppa, by placing a large mesh in the preperitoneal space to cover half of the abdominal wall and all the weak areas (Myopectineal orifice of Fruchaud) including area of internal ring, Hasselbach\u2019s triangle and the femoral ring with\/without obturator opening. Both TAPP and TEP are now accepted as evidence based treatment for inguinal hernias equivalent to Lichtenstein\u2019s procedure.<\/p>\n\n\n\n

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About Dr. R. Padmakumar<\/h2>\n\n\n\n
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\n \"Hernia\n
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Laparoscopic Hernia Surgeon<\/h5>\n Read More<\/a>\n <\/div>\n <\/div>\n <\/div>\n
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\n \"The\n
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The Wizard Laparoscopic Surgeon \u2013 Indian Express<\/h5>\n Read More<\/a>\n <\/div>\n <\/div>\n <\/div>\n<\/div>\n\n\n\n
<\/div>\n","protected":false},"excerpt":{"rendered":"

Repair of inguinal hernia is one of the commonest surgical procedures performed worldwide. The lifetime risk for men is 27% and for women, it is 3 %. \u201cNo disease of the human body, belonging to the province of the surgeon, requires in its treatment, a better combination of accurate, anatomical knowledge with surgical skill than […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[54],"tags":[15],"class_list":["post-676","post","type-post","status-publish","format-standard","hentry","category-publications","tag-hernia-surgery"],"_links":{"self":[{"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/posts\/676","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/comments?post=676"}],"version-history":[{"count":35,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/posts\/676\/revisions"}],"predecessor-version":[{"id":2615,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/posts\/676\/revisions\/2615"}],"wp:attachment":[{"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/media?parent=676"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/categories?post=676"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/tags?post=676"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}