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December 1965

Changing Concept of Inguinal HerniorrhaphyExperience With Preperitoneal Approach

Author Affiliations

From the departments of surgery, Saint Joseph Hospital, Hazleton, Pa; Hazleton State General Hospital; Hospital of the University of Pennsylvania, Philadelphia; and the Harrison Department of Surgical Research, School of Medicine, University of Pennsylvania.

Arch Surg. 1965;91(6):971-975. doi:10.1001/archsurg.1965.01320180105023

AFTER having repaired inguinal hernias by the conventional anterior approach for over a decade and noting the development of an occasional recurrence at the site of the internal ring or in the direct area, Dr. Dyson in 1961 was receptive to a new approach to herniorrhaphy. The report of Nyhus and associates1 concerning their recent success with the preperitoneal herniorrhaphy provided this new approach and led to the adoption of this method for the repair of all groin hernias. It appeared worthwhile to reexamine each patient having had a groin hernia repaired by this technique over the past 3½ years. Having done this, we felt the results obtained were of sufficient interest to warrant reporting. These results have led to our modifying the method utilized for the repair of inguinal hernias.

Method  The technique employed over the past 3½ years was essentially that of Nyhus et al.1 A

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