[Treatment of inguinal hernias: methods].
After a short description of the anatomy of the inguinal area, especially of muscular walls and rings, weaken areas through which hernia could appear, we describe surgical procedures, using or not prosthesis, to strength the posterior wall. The most usual procedures using no prosthesis are Bassini's, Mac Vay's and Shouldice's techniques. The procedures using prosthesis are Lichtenstein's, plug's, Stoppa and Rive's, and Pouliquen's techniques. Finally, we describe coelioscopic procedures (intra- and extraperitoneal approach). We conclude that actually, the best technique employing nonprosthesis is the Shouldice repair. Concerning techniques employing a prosthesis, we do not know, at the present time, which is the best. Clinical trials are on run to answer this question.
Hay
J M
JM
Service de chirurgie générale et digestive hôpital Louis-Mourier, Colombes.
D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007264:Inguinal Canal / Q000033:anatomy & histology; D010535:Laparoscopy; D008722:Methods; D019736:Prostheses and Implants