What are the types of open inguinal hernia repair?

Updated: Jan 17, 2018
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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Inguinal hernia repairs are of the following three general types:

  • Herniotomy (removal of the hernial sac only)
  • Herniorrhaphy (herniotomy plus repair of the posterior wall of the inguinal canal
  • Hernioplasty (herniotomy plus reinforcement of the posterior wall of the inguinal canal with a synthetic mesh)

The ensuing discussion focuses primarily on the Lichtenstein tension-free mesh repair, which is an example of hernioplasty and is currently one of the most popular techniques of inguinal hernia repair. [6, 7] The Bassini, Shouldice, and darn repairs (all examples of herniorrhaphy) are also briefly discussed. The key technical point is that in the Lichtenstein tension-free repair, there is no attempt to repair the posterior wall, as is done in Bassini or Shouldice repairs; the weak posterior wall is reinforced with mesh.

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