الفهرس 
INDRODUCTION
Surgical Anatomy of Inguinal canalOnly 14 pages are availabe for public view
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Abstract
Surgical repair of the hernia is considered to be the only definitive management of hernia. The outcome of hernia surgery is highly surgeon dependent ”no disease of the human body, belonging to the province of surgeons requires in its treatment a greater combination of accurate anatomical knowledge with surgical skill than hernia in all its varieties”.
Inguinal hernia repair is the most common general surgical procedure in the western world. In Sweden alone (population nine million), an average of 18.000 inguinal hernia operations are performed annually, of which 16% are for recurrent hernias.
The exact cause of inguinal hernia is still unknown but the following factors contribute in its occurrence. A preformed congenital sac raised intra-abdominal pressure and weak abdominal musculature.
In 1887, Bassini published his original description of inguinal hernia repair. Later on, many modern modifications such as the Shouldice repair and the Lichtenstein ”tensionless” mesh repair have originated from it.
The Desarda technique of inguinal hernia repair used and acclaimed by its developer, Prof. M.P. Desarda, since 1990 seeks to overcome the challenges faced when using tension tissue-repair and mesh repair techniques. Desarda’s technique is based on the concept of providing a strong, mobile and physiologically dynamic posterior inguinal wall. The technique is simple, as well as being easy to learn and perform. It does not require complicated dissection or suturing. It does not require any foreign material, and does not use weakened muscles or transversalis fascia for repair.
The results are superior to those previously published in the field of hernia surgery (Situma SM, Kaggwa. 2009)
The effectiveness of the Desarda technique has not been investigated sufficiently in the African population. No sufficiently large datasets from randomised comparative studies are available to consult. In a randomised controlled study at Mulago Hospital in Uganda, Situma et al. (Situma SM, Kaggwa. 2009) found no significant difference in short-term outcomes between modified Bassini and Desarda’s repair with regard to postoperative acute pain and resumption of normal gait.