Desarda technique for inguinal hernia repair, a multicenter experience 312 p j m h s vol. The bassini technique for inguinal hernia repair involves suturing the transversalis fascia and the conjoined tendon to the inguinal ligament behind the spermatic cord with monofilament. The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s. This technique has been shown to return athletes to competition rapidly. Seventyfive hernias were repaired using the mcvay technique, and only two recurrences 2. The bassini technique for inguinal hernia repair involves suturing the transversalis fascia and the conjoined tendon to the inguinal ligament behind the spermatic cord with monofilament nonabsorbable suture. Shousdice hernia repair had a lower recurrence rate than. This does not imply that ancient forms of technology and technique appeared earlier in other cultures. Inguinal hernia indirect inguinal hernia o is a congenital lesion o occurs when bowel, omentum or other abdominal organs protrudes through the abdominal ring within a patent processus vaginalis o if the processus vaginalis does not remain patent an indirect hernia cannot develop o most common type of hernia 16. Ellul 1964 asserted that was principally in the near east that nontrivial techniques for manipulating the environment first developed. The operative technique was modified from the previous meshplug hernioplasty described by rutkow and robbins. Eugenio vargas carbajal profesor asociado unmsm cirujano general laparoscopista 1 dr. His technique was quickly adopted by the medical establish and modified to improve its durability. He is sometimes called the father of modern inguinal hernia surgery.
Dautres etudes sont cependant necessaires pour confirmer nos resultats. Today various surgical techniques have been developed through years of trial and failure. The modified bassini repair involves high ligation of the hernia sac and reconstruction of the inguinal floor. In the bassini technique, the conjoint tendon formed by the distal ends of the transversus abdominis and internal oblique muscles is approximated to the inguinal ligament and closed other open nonmesh techniques. Technique chirurgicale cure des hernies inguinales en.
Clinical evidence, gathered over 70 years of followup with our patients, clearly demonstrates that our natural tissue hernia repairs are exceptionally safe, secure and reliable. What is the bassini repair technique for open inguinal. An indirect complete inguinal hernia on the right side treated by herniorraphy with the principle of bassinis repair complemented with tanner slide relaxing incision made on lower part of. However his success as a composer was overshadowed by his reputation as one of the finest concert violinists of the nineteenth century. The success rate for hernia repair at shouldice sets the gold standard for medical professionals around the world. Bassini stitched the muscle on the upper side of hernias to the ligament below. The modern philosophies of technology discussed above draw from a framework of western philosophic ideas. Cure des hernies inguinales en tension free nouvelle. Bassini has presented his first results in padua in italian during surgical congress in genoa 9 and after a few years in german to gain a wider audience 10. Pdf comparison of bassini and shouldice surgery methods. This study compares the clinical outcomes of the minimal repair technique with the traditional modified bassini repair. Setting 15 clinical centres in france 21 senior surgeons. To compare tensionfree hernia repair to a modified bassini technique andrews technique used to treat complicated inguinal hernia. Shouldice technique versus other open techniques for.
Desarda repair was done after taking informed consent from each patient. The meticulous anatomical knowledge led to a surgical technique that bassini applied with important success to his patients in padua, where he started to practice after graduation. In the period 19902004, 75 patients were submitted to emergency operation because of strangulated inguinal hernia. Two techniques for inguinal hernia treatment are compared. The minimal repair technique for sports hernias repairs only the weak area of the posterior abdominal wall along with decompressing the genitofemoral nerve. During surgery to repair the hernia, the bulging tissue is pushed back in. Comparison of bassini and shouldice surgery methods in the inguinal hernia surgery 208 p j m h s vol. Ces sutures peuvent creer plus ou moins des tensions anatomiques pouvant alterer le confort post operatoire des patients par des douleurs. Regardless of the technique or approach, mesh placement behind.
A hernia is tissue that bulges out of a weak spot in the abdominal wall. Cure des hernies inguinales en tension free nouvelle technique. Resident in surgery, the henry ford hospital detroit, michigan the original papers by bassini, hal sted and ferguson, dealing with the operative treatment of inguinal her nia, are not only of great historical interest, but also of great practical value to the student of the operative technics for inguinal. To compare the outcome of tensionfree mesh repair by. So many modifications are done to bassini s procedure. If no prosthesis is used, then the posterior wall of the inguinal canal should be repaired either with the classical bassinis or the shouldice technique, both which incise the traversalis fascia and then resuture accordingly to the method used. Patients with obvious predisposing condition were managed accordingly before surgery was done. Results seventyfive hernias were repaired using the mcvay technique, and only two recurrences 2. An indirect complete inguinal hernia on the right side treated by herniorraphy with the principle of bassini s repair complemented with tanner slide relaxing incision made on lower part of. Elle est le plus souvent reservee aux hernies bilaterales et aux recidives. Your intestine may bulge out through this weakened area.
Antonio bazzini 11 march 1818 10 february 1897 was an italian violinist, composer and teacher. Tensionfree repair versus modified bassini technique. It is performed for direct and indirect inguinal hernias, but has a higher rate of recurrence as compared to the lichtensteinmesh repair of inguinal hernia. For the group repaired using the bassini technique, two recurrences for 69 hernias 2. For surgeons in training the lichtenstein open mesh technique is a better method of inguinal hernia repair than the shouldice technique. The shouldice technique was itself an evolution of prior techniques. Herniias development of this type of hernia requires a potential hernia sac, which is provided by the processus vaginalis. Tensionfree repair versus bassini technique for strangulated.
Quelle technique operatoire pour une hernie inguinale non. It also involves the socalled tanner slide, which is a vertical relaxing incision in the anterior rectus sheath intended to prevent tension. The outcome is better for the patients and it is more cost. The authors stress the differences between these two techniques by reporting and comparing the results obtained during four years of operating on 381 patients with the bassini technique and 357 with the lichtenstein technique. By then, bassini had performed the procedure more than 250 times. In the late 19th century edoardo bassini, a venetian physician developed a surgical technique that recreated the deep and superficial inguinal rings. A prospective, randomized trial comparing three operative techniques. Lichtenstein technique to bassini technique used to treat strangulated inguinal hernia. One study reported no events so it was excluded from the meta. As a composer his most enduring work is his chamber music which has earned him a central place in the italian instrumental renaissance of the 19th century. Hay jm, boudet mj, fingerhut a, pourcher j, hennet h, habib e.
Lichtenstein mesh repair lmr vs modified bassini s. Inguinal hernia repair is surgery to repair a hernia in your groin. Classical herniorrhaphies of bassini, halsted and ferguson. Bassini s technique represents a fundamental step in the treatment of inguinal hernia.
The recurrence rate for shouldice repair is about 17% 14, 15. Design randomised controlled trial with mean followup of 5,7 years. Your abdominal wall is strengthened and supported with sutures stitches. Patients 1578 men mean age 54 y, range 15 to 92 y who had 1706 hernias. The millikan modified meshplug hernioplasty surgery. The original bassini technique in the surgical treatment. It can be asserted that a new era in its surgical therapy started with bassini.