open access

Vol 16, No 1 (2014)
Review articles
Published online: 2014-11-13
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Minimally invasive preperitoneal groin hernia repair through an anterior approach

Sławomir Kozieł, Mateusz Majewski, Bartosz Pułtorak, Zbigniew Lorenc, Piotr Papaj
Chirurgia Polska 2014;16(1):20-27.

open access

Vol 16, No 1 (2014)
Review articles
Published online: 2014-11-13

Abstract

Inguinal herniorrhaphy is one of the most common operations in general surgery wards worldwide. Tension free techniques with mesh implantation (among Lichtenstein most common) reduced recurrence rate to less than 1%. Chronic pain comprising up to 40% of operated patients still remains a clinical problem.

Laparoscopic (endoscopic) techniques avoid extensive preparation in the groin, what is more hernia mesh is placed in avascular space of Borgios which contribute to reduction in chronic pain level. Apart from mentioned advantages laparoscopy (endoscopy) have drawbacks as well, among which high cost and long learning curve has to be taken into account.

Currently many authors are keen on preperitoneal non laparoscopic minimal incision hernioplasty which result in few recently published operation techniques. In the article we present new hernioplasty methods and discuss them.

Abstract

Inguinal herniorrhaphy is one of the most common operations in general surgery wards worldwide. Tension free techniques with mesh implantation (among Lichtenstein most common) reduced recurrence rate to less than 1%. Chronic pain comprising up to 40% of operated patients still remains a clinical problem.

Laparoscopic (endoscopic) techniques avoid extensive preparation in the groin, what is more hernia mesh is placed in avascular space of Borgios which contribute to reduction in chronic pain level. Apart from mentioned advantages laparoscopy (endoscopy) have drawbacks as well, among which high cost and long learning curve has to be taken into account.

Currently many authors are keen on preperitoneal non laparoscopic minimal incision hernioplasty which result in few recently published operation techniques. In the article we present new hernioplasty methods and discuss them.

Get Citation

Keywords

groin hernia repair, preperitoneal approach, open approach, minimal invasive surgery

About this article
Title

Minimally invasive preperitoneal groin hernia repair through an anterior approach

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 16, No 1 (2014)

Pages

20-27

Published online

2014-11-13

Bibliographic record

Chirurgia Polska 2014;16(1):20-27.

Keywords

groin hernia repair
preperitoneal approach
open approach
minimal invasive surgery

Authors

Sławomir Kozieł
Mateusz Majewski
Bartosz Pułtorak
Zbigniew Lorenc
Piotr Papaj

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