Open Preperitoneal Inguinal Hernia Repair Technique

Despite the small number of patients this pilot study shows that the trepp technique may be a feasible method for hernia repair and seems to be promising.

Open preperitoneal inguinal hernia repair technique. 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. Conclusions a total of 67 articles were included describing nine different methods. But compared to the totally extra peritoneal repair this technique is not expensive easier to perform and can be performed under regional anaesthesia. For the repair of inguinal hernias several surgical methods have been presented where the purpose is to place a mesh in the preperitoneal plane through an open access.

The evolution of all inguinal hernia repair techniques may conceptually lead to an open direct preperitoneal approach using a preperitoneal mesh position such as trepp. A tension relieving incision was used when appropriate. 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. The transinguinal preperitoneal technique can be considered more analogous to the totally extra peritoneal repair.

Open right inguinal hernia repair dr. Nonresorbable monofilament suture was to be used for the repair. Using a small 1 25 incision a thin mesh is placed under the abdominal wall in the same location as the laparoscopic repair. 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.

Open hernia repair with a mesh graft was performed using the preperitoneal approach through a split incision. 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. However a preperitoneal posterior approach open or laparoscopic reduces these problems. The aim of this systematic review was to describe preperitoneal repairs with emphasis on the technique.

Conventional open hernia repair was performed by the technique preferred by the surgeon. Kugel trepp tipp onstep horton florence nyhus ugahary read and stoppa. As they become more popular the open preperitoneal techniques are rapidly replacing the widespread conventional open and laparoscopic procedures. Surgical repair was recommended in this patient due to his young age and symptoms.

Although there are some variations of the open preperitoneal inguinal hernia repair available kugel onstep transinguinal etc the basic principles and advantages remain the same.