Introduction

A hernia is defined as an area of weakness or complete disruption of the fibro muscular tissues of the body wall. Structures arising from the cavity contained by the body wall can pass through, or herniated, through such a defect. Inguinal hernia, is the most common external abdominal hernia and comprises of 95%of all groin hernias. The repair of inguinal hernia is one of the most frequently performed surgical operation. A landmark in hernia surgery was described by Eduardo Bassini in 1889³ who added one more principle to hernia repair i.e. reconstruction of the posterior wall  of the inguinal canal and reported recurrence rates highly acceptable by those standards. This was followed by Should ice technique of imbrications of transversalis fascia and strengthening the posterior wall in four layers of fascia and aponeurosis. These modifications decreased the recurrence rate to around 3%.⁴

1. History of treatment of groin hernia. World J Surg. 2002 Jun; 26(6):748-59.
2. Legutko J, Pach R, Solecki R, Matyja A, Kulig J. The history of treatment of groin hernia. Folia Med Cracov. 2008; 49(1-2):57-74.
3. Bassini E. Nouvo Metodo per la Cura Radicale dell' Ernia Inguinale. Padua, Italy: Prosperini; 1889
4. Shouldice EB. The Shouldice repair for groin hernias. Surg Clin North Am 2003; 83: 1163.
5. Usher F. Hernia repair with Marlex mesh Arch. Surg. 1962; 84, 325-328.
6. Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia 2004; 8: 1.
7. Ger R. The management of certain abdominal hernias by intraabdominal closure of the neck. Ann. R. Coll. Surg. Engl. 1982; 64; 342–344
8. Gilbert AI, Graham MF. Improved sutureless technique _ advice to experts. Problems in General Surgery 1995;12:117-9.

Dr Manzoor Ahmad

GMC Srinagar