XXXX in Saudi Arabia. A 10 year experience.

@entity1 @entity2268 @entity1151 @entity18659 @entity547 @entity169
There are differing opinions regarding the cause of @entity169 in adults. It seems that a patent vaginal process may determine the type of herniation that occurs in an adult but may not actually cause the @entity547 . Also, altered collagen metabolism seems to play a significant role in many cases of @entity547 in adults. Thus, most of these @entity547 are actually caused by a mixture of congenital and acquired factors. Consequently, it follows that there are a variety of opinions regarding surgical repair. This follow-up study on recurrence after @entity169 repair in Saudi Arabia was aimed at testing the effectiveness of Bassini's repair and the results achieved when it is employed for primary @entity169 repair in adults. One hundred forty @entity1 (95 with indirect and 45 with direct @entity547 ) who had Bassini's repair were studied. Only pure direct or indirect @entity547 were included. Combined direct, indirect bilateral, recurrent, or @entity18659 were not investigated. All the @entity1 were followed for 2 years after repair, with a total recurrence rate of 2.14 percent. The projected recurrence rate at 25 years is 5.3 percent. These results are comparable to those achieved with other techniques. Therefore, I believe that the criticisms of Bassini's repair are based on theoretic grounds only. Bassini's repair has stood the test of time, is easier to teach and to perform by junior surgeons, and the chance of being complicated by @entity2268 and @entity1151 is less than the chance with Cooper's ligament repair.
