Page 5 - herina surgery and possible lawsuits

Lucas- High ligation at deep ring, opened the external
1881 oblique aponeurosis to expose the entire inguinal
Championniere
canal
Bassini Reconstruction of posterior inguinal floor by
approximation of "triple layer” (EO, 10 TF) to the
1887 shelving border of the inguinal ligament with
interrupted sutures with silk, leaving the cord
under the external oblique aponeurosis.

Williams Halsted Similar to Bassini out change m cord placement-
Halsted I- Cord behind the skin
1888
Halsted II- Cord behind the repair
Abandoned cord skeletanization.
Robert Lawson Tait Developed a repair of the femoral hernia from
1891 within the peritoneal cavity

1876 Thomas Annandale Concept of prepentoneal hernia repair

Cheatle G. L Explored prepentoneal repair for bilateral hernia
1920 with single incision, penosteal flap to inguinal
ligament.
{
Henry Rediscover Cheatle procedure of prepentoneal
repair; later on procedure known as Cheatle-
Henry procedure
Nyhus Popularize Cheatle Henry procedure in routine
use, so the procedure known as NYHUS
operation

Shouldice E. Three layered overlapping repair with continuous
1945
suturing.

McVay Suturing of transverse abdominis arch to
Cooper’s ligament. ( Cooper ligament repair)

Molony Describe dam with the use of nylon for hernia
1948
repair

(5) Era of Tensionless Hernia Repair (Mid-twentieth Century to the Present)

Relaxing incisions and darn was introduce to overcome the tension led by the Bassini’s
repair on the pubic end of the repair, resulted in pain and recurrence at that site.

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