open access
Minimally invasive preperitoneal groin hernia repair through an anterior approach
open access
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.
Keywords
groin hernia repair, preperitoneal approach, open approach, minimal invasive surgery
About this articleTitle
Minimally invasive preperitoneal groin hernia repair through an anterior approach
Journal
Chirurgia Polska (Polish Surgery)
Issue
Pages
20-27
Published online
2014-11-13
Page views
1139
Article views/downloads
1583
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
