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Literature review on repair techniques

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The duration of convalescence has been controversial and poorly studied. Previous recommendations have been based on retrospective, observational studies and largely on tradition. In the United States alone, approximately inguinal, 25 femoral, and umbilical herniorrhaphies are performed each year. This new focus comes as a result of technological innovations and an increasing awareness of socioeconomic factors. The development of mesh repairs and the introduction of laparoscopic techniques have affected recurrence rates and made the return to usual activities faster. Our review of the clinical and biomechanical literature is summarized here and accompanied by practical evidence-based recommendations that can be tailored to the specific needs of individual patients. Influence of surgeon and physician recommendations on timing of return to work In a seminal publication on the suture repair of inguinal hernia, Bassini recommended 6 weeks of bed rest followed by an extended period of convalescence.
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