Mcvay Inguinal Hernia Repair

Like the mcvay it addresses indirect direct and femoral hernias.

Mcvay inguinal hernia repair. Types of inguinal hernia repair. This repair closes the femoral canal and is thus a good repair to use when a femoral hernia is encountered. Inguinal hernias occur in about 15 of the adult population and inguinal hernia repair is one of the most commonly performed surgical procedures in the world. Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region.

But in the mcvay repair the transversalis fascia is sewn to cooper s ligament medially and then to the inguinal. Elective surgery is offered to most patients. Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own however not all require immediate repair. Superior pubic ligament in 2 patients who had lost their inguinal ligaments in the course of prior unsuccessful hernia repairs.

This chapter describes the steps in technique and potential pitfalls associated with the use of this repair. Inguinal hernias are the commonest of all hernias surgery is the definitive treatment and hernia repair is the most commonly performed general surgical procedure in clinical practice. Open mesh versus non mesh. These approaches are based on the stoppa pre peritoneal hernia repair use a balloon to create a space behind the muscles and use mesh to repair the hernia.

The mcvay hernia repair is unique in that it uses the cooper s ligament instead of the inguinal ligament to repair the inguinal floor. Anatomy and management is intended for general surgeons and hernia specialists. Identify the anatomical landmarks of the abdomen and groin relevant to hernia repair. The mcvay repair uses autologous tissue to close the floor of the inguinal canal.

Mcvay technique for non mesh hernia repair. For example with the bassini repair the transversalis is sewn to the inguinal ligament. Most hernia repairs depend on an intact inguinal ligament and for this reason most hernia repairs will not work when there is a femoral hernia. The bassini repair sutures together the conjoined tendon and the shelving edge of the inguinal ligament up to the internal ring.

Also used for incisional hernias. It develops from a hole underneath the inguinal ligament. Approximately 800 000 mesh hernioplasties are performed each year in the united states 2 100 000 in france and 80 000 in the united kingdom. Trans abdominal pre peritoneal inguinal.

The history of hernia is as old as the history of surgery. The mcvay repair is most useful for femoral and direct hernias. Awad ss fagan sp. Femoral hernias are more common in women than in men.

Despite high frequency of this procedure very few have ideal results and post operative complications.