Femoral hernia historical perspective

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: M. Khurram Afzal, MD [2]

Overview

Hernia means a protrusion, hernias have been present in humans since the beginning of time, and the first interventions can be dated as early as the fifteenth century in ancient Egypt. However interventions had always been reserved for very large protrusions or painful incarcerated hernias.

Historical Perspective

There is a long history of the development of femoral hernia repair and the most notable transitions include:

• The femoral approach was favored in the 19th century by renowned surgeons Bassini, Marcy and Cushing. The recurrence rate was very high.
• The inguinal approach was then favored by a renowned surgeon named Chester McVay, though the recurrence rate still remained high, there were a number of complications and patients were unable to resume daily activities.
• The plug technique was first introduced by Irving Lichtenstein and it was improvised by Gilbert and Rutkow.
• Presently, the widely used method is the PerFix mesh plug technique, which has fewer complications, patients are discharged in one day, and resume daily activities soon after.

References

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