Inguinal Hernia

Decent Essays
1. The recorded reference to inguinal hernia dates back to 1522 BC. The Egyptian papyrus of Ebers (1552 BC) refers to the observation of this disease as “a swelling on the surface of the belly caused by coughing” (Chowbey, 2012). In 400 BC, Hippocrates (a Greek physician, 460 BC-370 BC) described the identification between hernia and hydrocele testis.

2. In 50 BC, Aulus Cornelius Celsus (25 BC-50 AD) brought the ancient Greek medicine to Rome and hernia trusses were widely used. Surgery was recommended to those patients with pain. The hernia sac, after separated from the spermatic cord, was excised through a scrotal incision below pubic bone. The wound was then left to granulate and form scar tissue. Bigger wound would be burnt to promote scar formation. In the operation,
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William of Salicet (1210-1277), in about 1250, clearly put forward the preservation of testicles in surgery. In 1363, Guy de Chauliac (1300-1368) was the first surgeon differentiating femoral from inguinal hernia. The Renaissance brought burgeoning anatomic knowledge and people comprehended more about hernia, which contributed to the fundamental development of hernia treatment.

6. Ambroise Pare (1510-1590), a French surgeon who was regarded as the founder of modern surgery, advocated using vascular ligation to replace the use of hot oil or cauterization for hemostasis. In his book, The Apologie and the Treatise, he recorded the operation of reducing the content of sac into belly and ligaturing peritoneum by golden thread and condemned orchidectomy.

7. Pierre Franco (1500-1565), a French surgeon, gave detailed descriptions of hernia operation, including some early techniques on preventing testicles and spermatic cord from injury and the treatment of incarcerated hernia. He pointed out that incarcerated hernia could be fatal and advocated that an operation of relief should be given when strangulation occurred. He also invented a grooved dissector to relief the strangulated
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