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Repairing hernias in the old days 1970
Have a friend that had an inguinal hernia repaired
In 1970 no mesh just suture or stitched together
No shouldice no desarda, no mesh technique
He never had a problem I live in A town of 4500
It was just a good ole country doctor that did the repair
Why can’t things be that simple any more -
4 Replies
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The problem, Scott, is that then came industry. We have 2 types of inguinal hernias, direct and indirect. It’s my conviction that an indirect hernia could be treated just by sac ligation. You risk missing a direct hernia (10% according to Shouldice statistics) or may have a recurrence that can happen in years or decades, if ever. For direct hernia, I think you need a full tissue repair, like Shouldice, Desarda, or other (that will work for indirect, too). So most hernias could be treated in a very simple way before industry came.
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I agree. The pure tissue repairs offer excellent results without the complications of mesh. There are multiple techniques that can be tailored to the individual needs.
https://www.sportshernia.com/no-mesh-hernia-repair/
Regards.
Bill Brown MD -
Back in the old days there were no choices, just pure tissue repair
Seems like it worked then for plenty of folks -
I think for some hernias it could just be fine…for some others not if the tissue is too compromised. But this is what many are saying here including doctors: there should be a tailored approach rather than one fixes them all ie mesh. The number of cases is also a problem
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