Early and Late Postoperative Complications after Inguinal Hernia Repair A Retrospective Study

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Ali Al-Gamrah and Mohammed Arumiama

Kuwait University hospital, University of Sana’a – Yemen

Review of literature:

As a result of the progress in the anatomic knowledge during the eighteenth and early nineteenth century, due to the discoveries of A. Richter (1742-1812) and I.C. Dietrich (1778-…..), the surgical treatment of the hernia repair made most important progress. In 1887, the modern anatomic hernia surgery was usered in by Edwardo Bassini (1). The treatment of inguinal hernias has evolved over the past 150 years from truss support with operation reserved for life threatening situations to elective outpatient repair (2). The following techniques may be considered important for the reconstruction of the inguinal canal:
• Division of the floor of the inguinal canal (Marcy,

Bassini)
• Legation of the hernial sac (Championniere, Marcy, Bassini)
• Resection of the cremaster muscle (Bassini)
• Use of the iliopictineal ligament in the absence of the inguinal ligament
• (Lotheisen, McVay)(3)
• Realization of the importance of the ilio-pubic tract, the so called bandelette of Thomson (dynamic double breaking of the co-joint tandem) (Franchard, Condon)
• Closure of the inguinal floor (marcy, Bassini, Halsted, McVay) (4)
•The contribution of the schouldice repair was important during the 1930's.

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