High Ligation Inguinal Hernia

Inguinal hernia repair is one of the most frequently performed surgical procedures. Most adult surgeons do not use this technique to repair indirect inguinal hernias because of concerns for higher recurrence rates compared with mesh repairs. Therefore we examined long term outcomes of adolescent high ligation.

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From this point onwards the steps of standard hernia repair with a high ligation are followed according to the surgeons technique.

High ligation inguinal hernia. High ligation open or laparoscopic mesh repair open or laparoscopic or open muscle repair. After finishing the repair of one side the same steps are repeated on the contralateral side through the same skin incision. 1 despite the high incidence the technical aspects of inguinal hernia repair continue to evolve with new surgical advancements. At some point surgeons realized that high ligation of the hernia sac during an orchiopexy.

In the past open hernia repair in children consisted of high ligation of the indirect hernia sac. In 1887 bassini first recommended excision and high ligation of the indirect hernia. High ligation of the inguinal hernia sac is standard practice for many pediatric surgeons in postpubertal adolescents. The second procedure high ligation of the sac with plication of the floor of the inguinal canal the transversalis fascia is necessary when the hernia has repeatedly passed through the internal ring and has enlarged the ring partially destroying and causing weakness in the inguinal floor.

High ligation of the hernia sac without cutting the external oblique. High ligation of the sac in inguinal hernia indirect frank glassow m b f r c s 7bronto canada front the department of surgery shouldice hospital toronto. The traditional procedure involves a groin incision and high ligation of the hernia sac to reduce the incidence of hernia recurrence however high ligation of the hernia sac may induce postoperative pain. The poll gave scenarios of a 16 year old male with an inguinal hernia and asked surgeons to select one of five listed procedures to repair the hernia.

During the traditional inguinal hernia repair through the groin the external oblique fascia is cut to expose the entire cord and be able to perform a high ligation of the inguinal sac. 6 an approach to keep the hernia sac intact by using a purse string suture in the internal ring fascia can. Inguinal hernias are among the oldest known afflictions of humankind and surgical repair of the inguinal hernia is the most common general surgery procedure performed today. The external inguinal ring was not opened in any of the patients.

This technique can cause excess bleeding extended anesthesia time damage to structures in the area and an increased risk of recurrence. H igri ligation of an indirect hernial sac at the internal inguinal ring is traditional in both the training and practice of the abdominal surgeon.