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

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. 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. RecurentInguinalHernia
–ASurgicalChallenge

4. Post-Repair of Recurrent Hernia

5. MakeshiftTrussByPatientHimself

6. Previous Bassini-Type Repair

7. Previous Bassini Repair – Medial Recurrence
Medial defect with a dome-shaped direct sac (arrow).
Previous Bassini-type repair seen laterally

8. Previous Bassini Repair – Indirect Recurrence

9. Small Indirect Recurrence

10. Indirect Recurrence – Dilated IR

11. Small Indirect Sac in Mixed defect

12. Medial (Direct) Recurrence

13. Multiple Direct Recurrences

14. One of Many Direct Recurrences

15. Indirect (Lateral) Recurrence

16. Large Indirect Recurrence

17. Large Indirect Recurrence

18. Medial (Direct) Recurrence

19. Medial (Direct) Recurrence

20. Left Medial (Direct) Recurrence

21. Repair of Medial Recurrence

22. Repair of Medial Recurrence

23. Repair of Medial Recurrence

24. Medial Recurrent Defect

25. Medial Recurrent Defect

26. Lateral Recurrent Defect