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June 1986

The Inguinal Darn

Author Affiliations

From the Departments of Surgery, Veterans Administration Medical Center, Long Beach, Calif, and the University of California, Irvine, College of Medicine, Orange, Calif.

Arch Surg. 1986;121(6):717-719. doi:10.1001/archsurg.1986.01400060113016

• We performed 115 nylon darn repairs in 100 patients with inguinal hernia; 61 were primary and 54 secondary repairs, with 50 patients in each group. The Kinmonth modification of the Moloney darn was used. Thirty-seven percent of secondary repairs were done in patients with two or more previous repairs. Thirteen patients had indirect hernia repairs. The follow-up on 105 repairs in 90 patients averaged 62 months. There were two (3.5%) primary and four (8.3%) secondary repair recurrences. The six failures (5.7%) overall were either technical errors or improper patient selection. Three superficial wound infections (2.6%) healed without complications or suture sinuses. The inguinal darn for recurrent inguinal hernias appears to have a lower recurrence rate than the reported 15% to 30% following other techniques.

(Arch Surg 1986;121:717-719)

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