PubMed · 8185481
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A G Shulman, P Amid. 1994. Which Lichtenstein method?. https://doi.org/10.1001/archsurg.1994.01420290107017
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Of the histories of the many operations available in a general surgeon's technical armamentarium, that of groin herniorrhaphy has been written about repeatedly. Many of these reports focus on developments prior to the twentieth century. This article, instead, details selective evolutionary changes relative to groin hernia surgery during the last nine decades. Among the surgeons discussed are Battle, Ferguson, La Roque, Cheatle, Gallie, Henry, Tanner, McVay, Shouldice, and Lichtenstein.
Although a Cooper ligament repair is a more extensive operation than most hernia repairs, it can be done safely with minimal morbidity and a very low recurrence rate. A generous relaxing incision and careful technique around the femoral vessels are required. Many surgeons would choose a Cooper ligament repair for direct, large indirect, and femoral hernias only. I have used it for all groin hernias in adults, primary or recurrent, regardless of the presenting defect. I believe it is the best hernia repair done today.