Since the mid-1980s, dramatic progress has been made in the evolution of hernia surgery,
highlighted by the increasing use of prosthetic mesh.
27
,
30
This is heightened by the fact that repair of groin hernia is now the most common
major operation performed by the general surgeon, with an expected 750,000 such repairs
to be completed in the United States in 1998.
28
Of these surgical operations, it is estimated that almost 80% will involve placement
of a mesh prosthesis. Among the new mesh-based “tension-free” hernioplasties (i.e.,
laparoscopy, Lichtenstein, and plug), the use of mesh plugs has garnered many spirited
enthusiasts, and plug herniorrhaphy has become the fastest growing hernia repair used
by American surgeons. What is it about this utilitarian and simple surgical procedure,
often described as little more than placement of an internal truss, that has allowed
it to rapidly become one of the mainstays of the modern surgeon's hernia armamentarium?To read this article in full you will need to make a payment
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Article info
Footnotes
Address reprint requests to Ira M. Rutkow, MD, MPH, DrPH, 7 Pamela Street, Marlboro, NJ 07746-1621
Identification
Copyright
© 1998 W. B. Saunders Company. Published by Elsevier Inc. All rights reserved.
