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Article |

The Inguinal Darn

Harry Lifschutz, MD; George L. Juler, MD
Arch Surg. 1986;121(6):717-719. doi:10.1001/archsurg.1986.01400060113016.
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• We performed 115 nylon darn repairs in 100 patients with inguinal hernia; 61 were primary and 54 secondary repairs, with 50 patients in each group. The Kinmonth modification of the Moloney darn was used. Thirty-seven percent of secondary repairs were done in patients with two or more previous repairs. Thirteen patients had indirect hernia repairs. The follow-up on 105 repairs in 90 patients averaged 62 months. There were two (3.5%) primary and four (8.3%) secondary repair recurrences. The six failures (5.7%) overall were either technical errors or improper patient selection. Three superficial wound infections (2.6%) healed without complications or suture sinuses. The inguinal darn for recurrent inguinal hernias appears to have a lower recurrence rate than the reported 15% to 30% following other techniques.

(Arch Surg 1986;121:717-719)


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