Laparoscopic Re-Do Repairs of Recurrent Inguinal Hernias Using Double-Mesh Technique
نویسنده
چکیده
Described is a "double mesh" technique for performing laparoscopic re-do repairs of inguinal hernias. When doing this procedure, it is virtually impossible to take down the peritoneum due to incorporation of the old mesh. This technique is therefore done by using a simple onlay of polypropylene mesh, covering the hernia defect and ensuring that sufficient staples are placed into the iliopubic tract. Proper recognition of neuroanatomy is essential. In order to prevent intestinal adhesions, a second patch of gortex is secured to the polypropylene.
منابع مشابه
Cure of inguinal hernias with large preperitoneal prosthesis: Experience of 2,312 cases
It is clear that the recurrence rates after nonprosthetic methods for the repair of inguinal hernias, like McVay, Bassini or Shouldice techniques, are high (6-10%). Since 20 years, we are convinced, in the GREPA-EHS group, about the advantages of the use of a prosthetic mesh in majority of patients for repairs of primary or recurrent inguinal hernias and incisional hernias. We describe our typi...
متن کاملIntraoperative Images of the Totally Extraperitoneal Repair of Concurrent Spigelian and Groin Hernias
Minimally invasive surgical technology is changing the management of spigelian hernias. In addition to open repairs, laparoscopic transabdominal repairs as well as laparoscopic totally extraperitoneal repairs are well documented. However, because spigelian hernias are uncommon, few surgeons have a large volume of experience with spigelian hernia repairs. This is particularly true of the repair ...
متن کاملPatterns of Recurrent Hernias according to the Types of Previous Hernioplasties
Purpose: Recently, conventional tissue repairs are gradually being replaced by tension-free hernioplasties using meshes (mesh repairs) in hernia surgery. The aim of the present study was to evaluate patterns of recurrent hernias according to the types of previous hernioplasties. Methods: From August 2005 to July 2008, 18 hernioplasties were performed in recurrent cases at Chungbuk National Univ...
متن کاملSurgical management of inguinal hernia: retrospective cohort study in southeastern Scotland, 1985-2001.
Inguinal hernia repair (IHR) is the most common general surgical procedure in the United Kingdom, with an estimated 80 000 cases a year. The past decade has seen an increase in the use of prosthetic mesh in open and laparoscopic hernia repair based on the premise of a tension-free repair. Conversely, although traditional repair with suturing using the Shouldice technique has been reported with ...
متن کاملSingle-Incision Laparoscopic Intraperitoneal Onlay Mesh Repair for the Treatment of Multiple Recurrent Inguinal Hernias
INTRODUCTION Despite an exponential rise in laparoscopic surgery for inguinal herniorrhaphy, overall recurrence rates have remained unchanged. Therefore, an increasing number of patients present with recurrent hernias after having failed anterior and laparoscopic repairs. This study reports our experience with single-incision laparoscopic (SIL) intraperitoneal onlay mesh (IPOM) repair for these...
متن کامل