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Article
April 1954

USE OF RECTUS SHEATH IN REPAIR OF INGUINAL HERNIA

Author Affiliations

CHICAGO
From the Department of Surgery, The Presbyterian Hospital, and the University of Illinois College of Medicine.

AMA Arch Surg. 1954;68(4):557-569. doi:10.1001/archsurg.1954.01260050559020
Abstract

SINCE the original publications of Bassini5 and Halsted14 on the repair of inguinal hernia, there have been many modifications of their techniques, each with its own advocates. It is recognized that in the surgical care of inguinal hernia each case must be individualized, as the pathology involved in each hernia may be different; hence the repair employed should best fulfill the conditions found at operation.

In the past numerous reports have appeared in the literature describing the use of the anterior rectus sheath as a means of supporting the floor of the inguinal canal. Some have suggested the use of a fascial flap derived from the anterior rectus sheath; others have recommended a vertical incision in the sheath, after the external oblique aponeurosis has been reflected medially, in order to secure relaxation of the lateral margin of the sheath. This paper is concerned not only with the historical

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