Inguinal Hernia Surgery: Challenging Even for Experienced Surgeons

kang 2025년 05월 09일 Useful Resources 7

In the late 19th century, recurrence rates for inguinal hernia surgeries approached 100% after four years. This high failure rate stemmed from the inguinal region’s unique anatomical challenges:

It bears concentrated abdominal weight while having the weakest abdominal wall structure.
Its complex anatomy confuses even skilled surgeons.
In men, it contains testicular vessels, vas deferens, and sensitive nerves that must be preserved during repair.

Though physicians developed improved techniques, including mesh repairs introduced in 1989, recurrence rates still reach 10% in some cases. More concerning, the mesh technique – implemented without sufficient evaluation of side effects – sometimes creates complications more severe than recurrence itself.

In the following postings, we will examine the limitations and problems of mesh hernia surgery in detail, and introduce Kang Repair as a new solution to these issues.

What is a Hernia?

A hernia occurs when abdominal organs protrude through gaps in the transversalis fascia and abdominal wall muscles. These fibrous tissues normally contain organs like intestines within the abdominal cavity, but when this protective wall develops a hole, organs escape through it.

The transversalis fascia is lined with a thin peritoneal membrane that bulges through tears, forming a hernia sac. Herniated organs move in and out of this sac depending on body position, creating the characteristic symptom of an intermittent bulge.

Hernias can develop anywhere around the abdominal cavity. While inguinal hernias are most common, umbilical, femoral, and epigastric hernias also occur frequently. Incisional hernias after surgery and trocar-site hernias following laparoscopic procedures require prompt attention, particularly because they often involve intestinal adhesions and progress rapidly.

Going forward, we will focus primarily on inguinal hernias – the most common and surgically challenging type.