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KMID : 1033020140040010001
Journal of Hemiology: Diagnosis and Treatment of Hernias
2014 Volume.4 No. 1 p.1 ~ p.6
Pure Tissue Repairs in the Era of Prosthetic Mesh Repair
Park Jun-Beom

Abstract
Currently, mesh repair is the standard method for inguinal herniorrhaphy. However, we may sometimes have situations where a mesh cannot be used. We thus need tissue repair techniques for such cases. There are two main types of tissue repair techniques. One is the traditional anatomical repair (Bassini, McVay, Shouldice, Marci, etc.) that simply reinforces the weak point, and the other is the new physiologic (or aponeurotic) repair (Desarda, Guerinarini) that re-establishes the physiologic function of the groin area via aponeurosis. If the new physiologic herniorrhaphy technique has less tension, less pain, and a lower recurrence rate than the mesh repair, it could then be considered as the first option for hernia surgery.
KEYWORD
Physiologic tissue repair, Desarda operation, Mesh complication
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