Repair of Large Sliding Inguinal Hernias

Area of Science:

• General Surgery
• Surgical Techniques

Background:

• Sliding inguinal hernias are challenging intra-operative findings requiring specific repair methods.
• Existing techniques for sliding hernia repair have limitations.

Purpose of the Study:

• To describe a modified Bevan technique for sliding inguinal hernia repair.
• To evaluate the efficacy and safety of this modified technique.

Main Methods:

• Retrospective review of 25 patients undergoing open inguinal hernia repair for sliding indirect hernias.
• Single surgeon utilizing a modified Bevan technique from August 2007 to April 2013.
• Data collected included demographics, hernia characteristics, complications, and outcomes.

Main Results:

• The sliding components involved the bladder/perivesical fat, sigmoid colon, or cecum/appendix.
• Most patients were treated as outpatients, with a low complication rate.
• No hernia recurrences were noted in short-term or long-term follow-up (mean 13.6 months).

Conclusions:

• The modified Bevan technique is effective for repairing sliding inguinal hernias.
• This technique offers a safe and viable option for managing these complex hernias.
• The study supports the utility of this modified approach in surgical practice.