Marcy Repair

Hernia Discussion Forums Hernia Discussion Marcy Repair

Viewing 3 reply threads
  • Author
    Posts
    • #33439
      bobbyj900
      Participant

      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

      https://pubmed.ncbi.nlm.nih.gov/36129572/

      Thanks in advance for any thoughts.

      –Bobby

    • #33440
      bobbyj900
      Participant

      @drkang
      Hello Dr. Kang,
      What do you think about this study?
      Novel modification of Marcy operation for indirect inguinal hernia reconstituting deep inguinal ring shutter action

      https://pubmed.ncbi.nlm.nih.gov/36129572/

      Thank you.

    • #33441
      drtowfigh
      Keymaster

      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.

    • #33443
      Watchful
      Participant

      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.

Viewing 3 reply threads
  • You must be logged in to reply to this topic.

New Report

Close

Skip to toolbar