Open Inguinal Hernia Repair Technique
Ethicon west somerville nj repair in terms of time to return to work complications chronic pain and hernia recurrence in the short to middle term.
Open inguinal hernia repair technique. Patel m garcea g fairhurst k dennison ar. This mesh can be placed by either using an open approach or by using a minimal access laparoscopic technique. In fact the advantages mentioned above only apply if a well trained laparoscopic surgeon. It is done either using open surgery or minimal access laparoscopic surgery.
The bassini technique for inguinal hernia repair involves suturing the transversalis fascia and the conjoined tendon to the inguinal ligament behind the spermatic cord with monofilament nonabsorbable suture. It also involves the so called tanner slide which is a vertical relaxing incision in the anterior rectus sheath intended to prevent. The shouldice technique is a four layer inguinal hernia repair performed with the patient under local anesthesia. Inguinal hernia repair is the most frequent operation in general surgery.
There are several techniques. Utilization of laparoscopic and open inguinal hernia repair. Harris narrates an open inguinal hernia repair surgery done at california hernia specialists hernia center. Other open non mesh techniques.
The shouldice technique was itself an evolution of prior techniques. J laparoendosc adv surg tech a 2009. The transversalis fascia is incised from the internal ring laterally to the pubic. The shouldice technique is sometimes considered the best method but different techniques are used as the gold standard for open hernia repair.
In a comparative study of open mesh techniques for inguinal hernia repair lichtenstein s operation was similar to mesh plug or prolene hernia system phs. The duration of the operation is always longer compared with open inguinal hernia repair. But often the question arises which is the best technique to repair inguinal hernia. Laparoscopic inguinal hernia repair techniques especially the tep procedure are technically demanding for the surgeon and require high experience and expertise.
Patient perception of laparoscopic versus open mesh repair of inguinal hernia the hard sell. The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s. The standard method for inguinal hernia repair had changed little over a hundred years until the introduction of synthetic mesh. Inguinal hernia repair is the most frequently performed operation in general surgery.