The Problem of Recurrent Inguinal Hernia (A Collective Review)

Year 1970, Volume: 23 Issue: 1, 268 - 284, 31.03.1970

Demir A. Ugur

Abstract

Bu derleme çalışması, inguinal fıtık cerrahisinden sonra gelişen nüks olgusunu cerrahi teknikler, cerrahın deneyimi, anatomik faktörler, hastaya ait özellikler ve postoperatif sonuçlar açısından incelemektedir. Bassini ve McVay yöntemleri ile yapılan fıtık ameliyatlarının nüks oranları karşılaştırılmış, kullanılan dikiş materyallerinin etkisi istatistiksel verilerle değerlendirilmiştir. Nüksün tarifine yönelik yaklaşımlar, yaş dağılımı, meslek grupları, fıtık süresi ve iki taraflı ameliyatların etkileri analiz edilmiştir. Makale, direkt ve indirekt fıtıklar için farklı cerrahi strateji önererek nüks riskinin azaltılması için anatomi bilgisi ve temel cerrahi kurallara bağlı kalınması gerektiğini vurgulamaktadır.

İnguinal Fıtıklarda Nüks Problemi (Toplu Derleme)

Abstract

This review article examines the issue of recurrence following inguinal hernia surgery, analyzing contributing factors based on surgical technique, operator experience, anatomical considerations, patient characteristics, and postoperative outcomes. Drawing from various studies and statistical comparisons, the author evaluates recurrence rates associated with Bassini and McVay techniques, identifies the impact of suture materials, defines recurrence classifications, and explores correlations with age, occupation, fıtık duration, and bilateral procedures. The article advocates for individualized surgical strategies based on hernia type and highlights the necessity for anatomical precision and adherence to fundamental surgical principles to minimize recurrence risk.

Keywords

Recurrence , Inguinal hernia , Bassini technique , McVay technique

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