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Abstract
This review of recurrent inguinal hernia evaluates the possible causes of recurrence
and the most effective operative procedures for successful repair. Emphasis is placed
upon precise dissection technic so that whatever fascia is available after the primary
operation may be utilized for the subsequent repair. A detailed study is devoted to
the histologic features of fascia, emphasizing its lack of vascularization as the
possible reason for its strength and permanency throughout life. In operations for
recurrent inguinal hernia, rectus sheath pedunculated grafts should be used more frequently,
and in extreme cases cord excision may be required. A follow-up study of one hundred
postoperative cases, with a failure rate of 7 per cent, is presented.
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© 1975 Published by Elsevier Inc.
