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Abstract
A simple classification of inguinal hernias is presented which can be valuable to
surgeons as a (1) blueprint for dissecting the canal, (2) means for choosing the most
appropriate operative procedure, (3) means for evaluating and correlating the prognosis
of postoperative symptoms, time of convalescence, and degree of disability, and (4)
method of identifying and communicating the exact anatomic derangement found so that
accurate and consistent follow-up studies and statistics can be prepared. Diligent
follow-up is essential for verifying the true results of hernia surgery techniques.
Such follow-up requires that the surgeon be dedicated to examining his patients for
many years, as well as to understanding, recording, and referencing the exact anatomic
and functional defects found and the repairs used to correct them. Only with these
factors identified and recorded can there be a basis for meaningful reporting and
valuable conclusions.
The classification of inguinal hernias presented here is intended to provide surgeons
an opportunity to better evaluate their own methods and to more clearly communicate
results with colleagues. As Oliver Wendell Holmes once said, “Many times ideas grow
better when they are transplanted from one mind to another.”
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© 1989 Published by Elsevier Inc.
