Recurrent Inguinal Hernia Pathological Types
Dr Sanjoy SanyalMBBS, MS (Surgery), MSc (UK), ADPHA, ADHRD
Master of Surgery thesis in JIPMER, Pondicherry, India under guidance of Dr R. B. Mehta
Recurrent Inguinal Hernia• Recurrent Hernia: A surgical challenge• Following slides show Pathology and
Pathophysiology of Recurrences• Especially following previous Bassini-type of
Inguinal Hernia repair• Recurrences are classified as Medial /
Lateral depending on their relation to Inferior Epigastric Artery
• Last few slides show repair techniques without using prosthetic material
Rec
ure
nt
Ing
uin
al H
ern
ia
– A
Su
rgic
al C
hal
len
ge
Post-Repair of Recurrent Hernia
Mak
esh
ift
Tru
ss B
y P
atie
nt
Him
self
Previous Bassini-Type Repair
Previous Bassini Repair – Medial Recurrence
Medial defect with a dome-shaped direct sac (arrow). Previous Bassini-type repair seen laterally
Previous Bassini Repair – Indirect Recurrence
Small Indirect Recurrence
Indirect Recurrence – Dilated IR
Small Indirect Sac in Mixed defect
Medial (Direct) Recurrence
Multiple Direct Recurrences
One of Many Direct Recurrences
Indirect (Lateral) Recurrence
Large Indirect Recurrence
Large Indirect Recurrence
Medial (Direct) Recurrence
Medial (Direct) Recurrence
Left Medial (Direct) Recurrence
Repair of Medial Recurrence
Repair of Medial Recurrence
Repair of Medial Recurrence
Medial Recurrent Defect
Medial Recurrent Defect
Lateral Recurrent Defect
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