Inguinal Hernia Repair Technique

The lichtenstein tension free hernioplasty is currently one of the most popular techniques for repair of inguinal hernias. The shouldice technique is sometimes considered the best method but different techniques are used as the gold standard for open hernia repair. Chronic pain after inguinal hernia repair.

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Shown Is The Left Inguinal Region With The Peritoneum Removed As

The image below depicts the anatomy of the inguinal canal.

Inguinal hernia repair technique. The transversalis fascia is incised from the internal ring laterally to the pubic tubercle medially and upper and lower flaps are created. Inguinal hernia repair is one of the most commonly performed surgical procedures in the world. Right inguinal hernia repair. Inguinal hernia repair is the most frequent operation in general surgery.

There are several techniques. Most surgeons now prefer to perform a tension free mesh repair. Laparoscopic techniques versus open techniques for repair of a hernia in the groin ulster medical society. Despite the fact that inguinal hernia repair is an essential part of a general surgeon s repertoire of operations the definitive operative management still remains controversial.

The shouldice technique was itself an evolution of prior techniques. The first efficient inguinal hernia repair was described by edoardo bassini in the 1880s. Mobilization of the spermatic cord through the cremasteric muscle and creation of medial and lateral flaps for transection the posterior wall of the inguinal canal is examined for a direct hernia then opened beginning at the internal ring in parallel to the internal oblique muscle. Inguinal hernia repair is one of the most common surgical procedures and several different surgical techniques are available.

This paper provides a full description of the technique together with tips and tricks to make it easy and without complications. Inguinal hernia repair is one of the most commonly performed surgical procedure in the world as inguinal hernias occur in about 15 of the population. The technique is simple with a number of straightforward steps. The shouldice technique is a four layer inguinal hernia repair performed with the patient under local anesthesia.

These flaps are then overlapped double breasted with two layers of sutures. Dissection of cremasteric muscle. The onstep method is a new promising technique. In the bassini technique the conjoint tendon formed by the distal ends of the transversus abdominis and internal oblique muscles is approximated to the inguinal ligament and closed.

Other open non mesh techniques. 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.