An updated traditional classification of inguinal hernias

Hernia : the Journal of Hernias and Abdominal Wall Surgery
Robert M Zollinger

Abstract

The traditional classification of inguinal hernias is the most widely used system today; however, it does not categorize all inguinal hernias nor their levels of complexity. The named systems of Gilbert, Nyhus, and Schumpelick are reviewed, and their common features are analyzed. A simple updating of the traditional classification along with the use of common modifiers creates a system that is all-inclusive and easy to use for data registries. The traditional classification of inguinal hernias (indirect, direct, and femoral) has withstood the test of time for almost 150 years. In this interval, inguinal hernia repairs have experienced significant evolution from simple ligation of the sac or suturing of the muscular defect to improved primary tissue repairs (e.g., Bassini, McVay, Shouldice) based upon better anatomic principles. Also during the past 30 years, two major revolutions in operative repairs have occurred. First, there is the use of mesh and, second, its placement laparoscopically. As a consequence, hernia surgeons today must choose among multiple competing operative techniques. No one operative technique has proven to be best for all inguinal hernias. Also different levels of complexity and severity exist among inguin...Continue Reading

References

Jun 1, 1987·American Journal of Surgery·I L Lichtenstein
Aug 1, 1970·Archives of Surgery·K Halverson, C B McVay
Apr 1, 1984·The Surgical Clinics of North America·R C Read
Feb 3, 1999·The Surgical Clinics of North America·I M Rutkow, A W Robbins
Oct 10, 2003·The Surgical Clinics of North America·Robert M Zollinger
Oct 25, 2003·Surgical Endoscopy·B M KraftR Bittner
Oct 31, 2003·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Lloyd M Nyhus

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Citations

Mar 14, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M MiserezJ B Flament
Jun 6, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D M LloydM G A Norwood
Jun 17, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Neset KoksalDogan Kus
May 28, 2013·Surgical Endoscopy·M M PoelmanH J Bonjer
Aug 10, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B van den HeuvelB J Dwars
Jun 4, 2016·International Journal of Surgery·Giuseppe AmatoGiorgio Romano
Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Aug 16, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A MiyakiY Naritaka

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