Are there any U.S. surgeons that will perform a minimally invasive Marcy-type repair on a smaller indirect inguiunal hernia in a patient with lower BMI? Dr. Brown has retired and it appears that Dr. Kang is the only available option.
Also, this study was recently released on the same subject:
Novel modification of Marcy operation for indirect inguinal hernia reconstituting deep inguinal ring shutter action
The Marcy repair is a great option for children and women with very small inguinal hernias. It’s an old technique that has been around for over 50 years. I use it in specifically those situations. It is not appropriate for direct inguinal hernias or in most male hernias.
I believe Dr Kang’s repair for indirect inguinal hernias is a modified Marcy repair as well.
There’s also a study from Japan cited here before that shows that a Marcy-type repair worked well for adult male indirect hernias. It’s not clear why it’s inappropriate if there’s all this experience with it working well (Kang, Brown, and these studies).
Dr. Kang has reported great success with it on the whole gamut of adult male indirect hernias. He doesn’t cherry pick his cases other than that they’re mostly Korean. There’s the theoretical concern about recurrence, but it looks like in practice this hasn’t been shown to be a problem, so the basis for the objection isn’t clear.
Privacy & Cookies Policy
Necessary cookies are absolutely essential for the website to function properly. This category only includes cookies that ensures basic functionalities and security features of the website. These cookies do not store any personal information.
Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. It is mandatory to procure user consent prior to running these cookies on your website.