Open Lichtenstein Inguinal Hernia Repair
Recurrent inguinal hernia preperitoneal repair lichtenstein tension free hernioplasty open posterior approach mesh repair anterior approach inguinal herniorrhaphy is one of the most common general surgical operations with approximately 10 20 performed for recurrence 1.
Open lichtenstein inguinal hernia repair. Inguinal hernia surgery is an operation to repair a weakness in the abdominal wall that abnormally allows abdominal contents to slip into a narrow tube called the inguinal canal in the groin region. This was brought up on the table cut to size and was sutured to cooper s ligament inferior and medially the shelving edge of the inguinal ligament then laterally. Harris narrates an open inguinal hernia repair surgery done at california hernia specialists hernia center. Learn about the open inguinal hernia repair lichtenstein indirect hernia an online 3d video based course accredited by the royal college of surgeons of england.
Surgery remains the ultimate treatment for all types of hernias as they will not get better on their own however not all require immediate repair. The repair of the indirect hernia was then completed with prolene mesh. The lichtenstein tension free mesh repair which is an example of hernioplasty and is currently one of the most popular open inguinal hernia repair techniques includes the following components. A total of 1512 men aged 30 to 70 years with a primary unilateral inguinal hernia were randomized to either tep or lichtenstein repair.
In a meta analysis of 72 studies the incidence of urinary retention after herniorrhaphy was 0 37 33 of 8991 patients with local anesthesia 2 42 150 of 6191 patients with regional anesthesia and. The lichtenstein tension free mesh repair which is an example of hernioplasty and is currently one of the most popular open inguinal hernia repair techniques includes the following components. Opening of the subcutaneous fat along the line of the incision. The cumulative recurrence rate was 3 5 in the tep group and 1 2 in the lichtenstein group p 0 008.
Elective surgery is offered to most patients. Overall 665 patients in the tep group and 705 patients in the lichtenstein group were evaluable. Urinary retention may occur after open inguinal hernia repair especially in middle aged and elderly male patients with prostatic enlargement.