IJCM  Vol.5 No.13 , July 2014
Editorial on the Status of Hernia Surgery Back to Pure Tissue Repair or Forward to Tohubohu

Edoardo Bassini is considered the father of modern surgery. His early results revealed a 2.7% recurrence rate. Earl Shouldice, his true successor, has improved the results to less than 1%. These results were produced by several well-known surgeons from 1970-2000 and well published. The need for mesh was meant for a small segment of the surgical patient population. What has happened? Generally, recurrence rates with mesh have not come down; instead, pain has become the bane of hernia repair as we begin the 21st century. A pain which makes the patient wish that he had a recurrence instead!

Cite this paper: Shouldice, E. (2014) Editorial on the Status of Hernia Surgery Back to Pure Tissue Repair or Forward to Tohubohu. International Journal of Clinical Medicine, 5, 737-740. doi: 10.4236/ijcm.2014.513100.

[1]   Bassini, E. (1887) Sulla cura radicale dell’ernia inguinale. Arch Soc Ital Chir, 4, 380.

[2]   Bassini, E. (1889) Nuovo metodo operativo per la cura dell’erniainguinale. Prosperini, Padova.

[3]   Bendavid, R. and Shouldice, E.E. (1995) A Biography. Problems in General Surgery, 12, 1-5.

[4]   Bendavid, R. (1987) A Femoral Umbrella for Femoral Hernia Repair. Surgery, Gynecology Obstetrics, 65, 153-156.

[5]   Bendavid, R. (1986) The “Fletching”: A New Implant for the Treatment of Inguino-Femoral Hernias. International Surgery, 71, 248-251.

[6]   Bendavid, R. (1992) “Dysejaculation”: An Unusual Complication of Inguinal Herniorrhaphy. Postgrad. Gen Surg, 4, 139-141.

[7]   Bischoff, J.M., Linderoth, G., Aaswang, E.K, Werner, M.U. and Kehlet, H. (2012) Dysejaculation after Laparoscopic Inguinal Herniorrhaphy. Surgical Endoscopy, 26, 979-983.

[8]   Bendavid, R. (1990) Incisional Parapubic Hernias. Surgery, 108, 898-901.

[9]   Bendavid, R. (1997) Composite Mesh(polypropylene-e-PTFE) in the Intrapritoneal Position. A Report of 30 Cases. Hernia, 1, 5-8.

[10]   Bendavid, R. (1992) The Space of Bogros and the Deep Inguinal Venous Circulation. Surgery, Gynecology Obstetrics, 174, 355-358.

[11]   Bogros, J.A. (1823) Essais surl’anatomie chirurgicale de la region iliaque. Thèse Méd, Paris, No. 153, 29 Août.

[12]   Fruchaud, H. (1956) Anatomie Chirurgicale des Hernies de l’Aine. Doin, Paris.

[13]   Holtzheimer, R.G. (2009) Inguinal Hernia Repair: What to Do with the Evidence. World Journal of Surgery, 3, 2056-2057.

[14]   Meumayer, L., Giobbie-Hurder, A., Jonasson, O. and Fittzgibbons Jr., R. (2004) Open Mesh versus Laparoscopic Mesh Repair of Inguinal Hernia. NEJM, 350, 1819-1827.

[15]   Sondena, K., Nesvik, I., Breivik, K. and Korner, H. (2001) Long Term Follow-Up of 1059 Consecutive Primary and Recurrent Inguinal Hernias in a Teaching Hospital. European Journal of Surgery, 167, 125-129.

[16]   Nienhuijs, S.W., Boelens, O. and Strobbe, L.J.A. (2005) Pain after Anterior Mesh Repair. Journal of the American College of Surgeons, 200, 885-889.

[17]   Wright, R.C. and Sanders, E. (2011) Inguinal Neuritis Is Common in Primary Inguinal Hernia. Hernia, 15, 393-398.

[18]   Fitzgibbons Jr., R. (2012) Let the Patient Be. American Hernia Society Meeting.

[19]   Simons, M.P., Aufenacker, T., Bay-Nielsen, M., et al. (2009) European Hernia Society Guidelines on the Treatment of Inguinal Hernia in Adult Patients. Hernia, 13, 343-403.