T ensionfree repair versus bassini technique for strangulated inguinal hernia. Hernias pared abdominal 2017 hernia inguinalhernia femoral. The surgical hernia repair is generally divided in three groups. The modified bassini repair involves high ligation of the hernia sac and reconstruction of the inguinal floor. Among the bassini recurrences, the worst results were observed with direct hernias 29% recurrence when compared with indirect ones 16% recurrence. For more than a century the field of hernia surgery was dominated by bassini inguinal hernia repair and its more than 75 variants, all of which had in common tension along the suture line that led to a painful postoperative course, a long recovery period, and a high recurrence rate. Nov 17, 2008 intervento chirurgico con tecnica di bassini per ernia inguinale indiretta in anestesia locale. We present our experience with lichtensteins open tensionfree mesh patch hernioplasty. The original bassini technique in the surgical treatment of inguinal hernia. It is performed for direct and indirect inguinal hernias, but has a higher rate of recurrence as compared to the lichtensteinmesh repair of inguinal hernia. The effect of changing from bassini to lichtenstein repair in 1994. Bassini, shouldice, lichtenstein, rutkowrobbins, prolene hernia system phs, tapp transabdominal preperitoneal repair e tep totally extraperitoneal repair. It can be asserted that a new era in its surgical therapy started with bassini. Pdf inguinal hernias are one of the most common pathologies general surgeons have to manage.
Onuigbo wib, medical foundation and clinic, 8 nsukka lane, enugu 400001, nigeria, email. Since bassini introduced his method for radical treatment of inguinal hernia bassini 1887, opening the modern era of herniorrhaphy, many other. Pdf evolution of an inguinal hernia surgery practice researchgate. As diferencas entre os grupos shouldice e mcvay nao foram significantes. The bassini type surgery was employed for nyhus ii and iiib with minor destruction of the posterior wall. Pdf inguinal hernia surgery has undergone numerous advances in the. Our observations point to a prohibitive high failure rate when dealing with the bassini technique, which was, over a century, the most popular treatment of inguinal hernia all over the world. The effect of changing from bassini to lichtenstein repair in 1994 was evaluated. Tensionfree repair versus bassini technique for strangulated. The most important suture criterion was the condition of the. We analyzed 233 lichtenstein hernioplasties performed in 189 patients. Patients with recurrent hernias or under 18 years were excluded. The use of prosthetic material in the treatment of inguinal hernia is increasingly common. Background inguinal hernia surgery has undergone numerous advances in the last few years.
Estudo dos reparos sem tela nas hernias inguinais com. Bassini herniorrhaphy definition of bassini herniorrhaphy. If you continue browsing the site, you agree to the use of cookies on this website. This study analysed the changes in the practice of one surgeon in a district general hospital over a seven year interval. The original bassini technique in the surgical treatment of. Patients afflicted with primary inguinal hernia who were older than 18 years of age were included in the study. Shouldice and mcvay techniques, even though more complex, should be preferred whenever one makes the choice for conventional hernia treatment. Edoardo bassini 1844 1924 descreveu sua tecnica em seis artigos publicados em italiano e em alemao.
Anesthetic was regional in 95% of the patients, general in 3% and local. Bassini, groin hernia, history, prosthetic repair in chronologic sequence, the. They pointed to a prohibitive high failure rate when dealing with the bassini technique, which was, over a century, the most popular treatment of inguinal hernia all over the world. Aproximacao com sutura em tripla camada do musculo obliquo interno, do arco aponeurotico do musculo transverso e da fascia transversalis ao trato iliopubico lig.
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