Surgical repair of recurrent inguinal hernia by using Dacron mesh

Main Article Content

jaleel Hussien Hammoodi Al obaidi


hernia recurrence , surgery Dacron mesh.


In this study we describe our technique for repair of recurrent inguinal hernia, using Dacron mesh placed by the inguinal route.
The inguinal canal is opened widely, a sheet of mesh is inserted and the muscles are closed without tension, we have repaired one hundred twenty patients with recurrent hernias by this method. one patient died and 12 patients have acceptable morbidity, in one case the bladder was injured. Six patients had infected wounds, and in two cases of these patients a new prosthetic mesh was inserted
successfully one year after removing the mesh, two patients had hematoma, one patient had retention of urine and one patient had cardiac arrhythmia. The recurrence rate occurred in 3 patients at 3.5%. We use the dacron mesh which is inexpensive and rapidly incorporated and the mesh reduces the side of the deep inguinal orifice and reinforces the fascia transversalis. Our technique is safe, and effective and allows a definitive repair of all types of hernia and patients.

Abstract 66 | pdf Downloads 83


1. Amid PK, Shulman AG, Lichtenstein IL. Selecting syn thetic mesh for the repair of groin hernia: Postgraduate General Surgery 1992; 4:
2. Amid PK, Shulman AG. Critical Scrutiny of the Open "Tension Free" Hernioplasty. Am J Surg 1993; 165: 369-371.
3. Donald RJ, Welsh MD. Inguinal hernia repair: a con temporary approach to a common procedure. Modern Medicine, 1974; 1: 49-54.
4. Donald RJ, Welsh MD, Alexander MA. The Shouldice repair. Surg Clin North Am 1993; 73: 451-469. 5. Gilbert AI. Sutureless repair of inguinal hernia. Am J Surg 1992; 163: 331-335.
5. Hay JM, et al. Shouldice inguinal hernia repair in the male adult: the gold standard? A multicenter controlled trial in 1578 patients. Ann Surg 1995; 222: 719-727.
6. Kingsnorth AN, Gray MR, Nott DM. Prospective ran domized trial comparing the Shouldice technique and plication darn for inguinal hernia.
Br J Surg 1992; 79: 1068-1070.
7. Lichtenstein IL, Shulman AG, Amid PK. The cause, prevention, and treatment of recurrent groin hernia. Surg Clin North Am 1993; 73: 529-
8. Lichtenstein IL, Shoulman AG, Amid PK. Use of mesh to prevent recurrence of hernias. Postgrad Med. 1990; 87: 155-158.
9. Robbins AW, Rutkow IM. The mesh plug hernioplasty. Surg Clin North Am 1993; 73: 501-512.
10. Shulman AG, Amid PK, Lichtenstein IL. The safety of mesh repair for primary inguinal hernias: results of 3019 operations from five diverse surgical sources. Am Surg 1992; 58: 255-257.