Open Preperitoneal Inguinal Hernia Repair

Conclusion tep and open preperitoneal repairs are similar in terms of recurrence rate and incidence of chronic pain for primary inguinal hernias.

Open preperitoneal inguinal hernia repair. The learning curve is shorter than laparoscopic repair. Approximately 20 million groin hernioplasties are performed each year worldwide over 17 000 operations in sweden over 12 000 in finland over 80 000 in england and over 800 000 in the usa countless studies have been reported in the medical literature in attempts to improve the. Open inguinal hernia repair. However a preperitoneal posterior approach open or laparoscopic reduces these problems.

The author has significant experience with laparoscopic inguinal hernia repair but now routinely performs the kugel or open preperitoneal repair because of the faster recovery and decreased postoperative pain. In the open repair group the recurrence rate shows a consistent improvement from the beginning of the learning curve figure 1. Mesh repair of inguinal hernia is the most common operation performed on general surgical patients. The aim of this study is to compare the outcomes of laparoscopic transabdominal preperitoneal repair tapp versus open mesh plug repair mp for bilateral primary inguinal hernia.

5 open preperitoneal hernia repair is easier to learn than laparoscopic approach. Advanced open preperitoneal inguinal hernia repair this minimally invasive method for inguinal hernia repair was first used in 1965 by renee stoppa and refined by robert kugel in 1999. Laparoscopic preperitoneal hernia repair is documented as an excellent choice for inguinal hernia repair in numerous studies with its low hospital stay postoperative pain and recurrence rates especially when the surgeon is experienced 5. Letter open preperitoneal mesh repair for recurrent inguinal hernias.

Misawa performs an open right inguinal hernia preperitoneal repair onstep technique with onflex mesh showing step by step the posterior inguinal dissection and mesh deployment. The cosmetic result is favorable to repair bilateral hernias. In open hernia repair also called herniorrhaphy a person is given local anesthesia in the abdomen or spine to numb the area general anesthesia to sedate or help the person sleep or a combination of the two. Midline preperitoneal repair is a suitable technique to repair hernia in case totally extraperitoneal tep repair is unsuccessful.

Methods this was a retrospective study of 107 patients with bilateral primary inguinal hernia between january 2008 and december 2016. Surgical repair was recommended in this patient due to his young age and symptoms. Then the surgeon makes an incision in the groin moves the hernia back into the abdomen and reinforces.