Ogston Operation

Ogston operation, or an inguinal herniorrhaphy, is a surgical procedure for the treatment of a hernia in the groin area. Hernias are caused by a breakdown in the lining tissue that normally holds the intestine inside the body. When this occurs, the intestine becomes inflated and squeezed through the defective tissue. The outward manifestations of this condition include a protrusion which may be felt in one or both groins, pain when sitting, sneezing, coughing, or bending, and swelling of the inguinal region.

The structure of the inner and outer tissues of the groin is complex. In areas where there is no direct contact with the outside world and the immune system can properly function, the tissues are largely unresponsive to hormones and substances from the bloodstream. Furthermore, as this area is an exception to general human anatomy, its topography is not uniform, that is, there is little fixed definition of what is considered upper or lower groin. However, it is generally accepted that the origin of defects in the outer or pubic fat pad is more common to the top of the adductor than to the bottom.

Furthermore, it is not clear whether problems in the layer of skin contacting the underlying muscle fibers, the aponeurosis, cause most hernias or if only