Recidive inguinal hernia with subcutaneous displaced spermatic cord. Operative procedure and results

: Following Bassini-Kirschner repair the rate of recidives is higher than after currently applied procedures. From the first of January 1971 to the first of November 1986 54 male patients were operated upon a recidive of inguinal hernia with the spermatic cord situated in the subcuticular tissue. 3 of them had a repair of both sides. 42 operations have been done for the first, 13 for the second an 2 for the third recidive. Beginning on the 10. 9. 1974 hernial repair was progressively accomplished by reconstructing a short oblique channel. In appropriate cases with a lateral recidive and a well healed plasty in the medial area this region remained untouched. This type of repair has been done in 12 cases. 38 patients (40 cases) were controlled personally 13 to 166 months postoperatively (mean 77.7 months), 8 of them with a short oblique channel. 12 patients were dead, 2 had returned to foreign countries. 2 patients refused control. There were 3/40 recidives: 2 recidives occurred out of 6 cases with Bassini-Kirschner procedure again, 1 recidive out of 22 cases with a Bassini repair. 2 patients with simple closure of a medially situated leakage and one patient each with McVay repair or semicastration were doing well, as well as the 8 patients with a short oblique channel.(ABSTRACT TRUNCATED AT 250 WORDS)