Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Recurrent Inguinal Hernia Pathological Types - Sanjoy Sanyal

3,185 views

Published on

Master of Surgery thesis by Dr Sanjoy Sanyal in JIPMER Pondicherry India, under guidance of Dr R. B. Mehta.
Shows some causative factors of recurrent inguinal hernia following Bassini-type of repair, and illustrates some steps of repair of recurrent inguinal hernias without using prosthetic materials.
Recurrent Hernia: A surgical challenge
Following slides show Pathology and Pathophysiology of Recurrences
Especially following previous Bassini-type of Inguinal Hernia repair
Recurrences are classified as Medial / Lateral depending on their relation to Inferior Epigastric Artery
Last few slides show repair techniques without using prosthetic material

Published in: Health & Medicine, Business
  • Be the first to comment

Recurrent Inguinal Hernia Pathological Types - Sanjoy Sanyal

  1. 1. Recurrent Inguinal Hernia Pathological Types Dr Sanjoy Sanyal MBBS, MS (Surgery), MSc (UK), ADPHA, ADHRD sanjoy.sanyal@bath.edu Master of Surgery thesis in JIPMER, Pondicherry, India under guidance of Dr R. B. Mehta
  2. 2. Recurrent Inguinal Hernia • Recurrent Hernia: A surgical challenge • Following slides show Pathology and Pathophysiology of Recurrences • Especially following previous Bassini-type of Inguinal Hernia repair • Recurrences are classified as Medial / Lateral depending on their relation to Inferior Epigastric Artery • Last few slides show repair techniques without using prosthetic material
  3. 3. RecurentInguinalHernia –ASurgicalChallenge
  4. 4. Post-Repair of Recurrent Hernia
  5. 5. MakeshiftTrussByPatientHimself
  6. 6. Previous Bassini-Type Repair
  7. 7. Previous Bassini Repair – Medial Recurrence Medial defect with a dome-shaped direct sac (arrow). Previous Bassini-type repair seen laterally
  8. 8. Previous Bassini Repair – Indirect Recurrence
  9. 9. Small Indirect Recurrence
  10. 10. Indirect Recurrence – Dilated IR
  11. 11. Small Indirect Sac in Mixed defect
  12. 12. Medial (Direct) Recurrence
  13. 13. Multiple Direct Recurrences
  14. 14. One of Many Direct Recurrences
  15. 15. Indirect (Lateral) Recurrence
  16. 16. Large Indirect Recurrence
  17. 17. Large Indirect Recurrence
  18. 18. Medial (Direct) Recurrence
  19. 19. Medial (Direct) Recurrence
  20. 20. Left Medial (Direct) Recurrence
  21. 21. Repair of Medial Recurrence
  22. 22. Repair of Medial Recurrence
  23. 23. Repair of Medial Recurrence
  24. 24. Medial Recurrent Defect
  25. 25. Medial Recurrent Defect
  26. 26. Lateral Recurrent Defect

×