Skip to main content

Open Techniques: Mesh and Non-mesh Anatomical Repairs

  • Chapter
  • First Online:
The SAGES Manual of Hernia Surgery

Abstract

Open inguinal herniorrhaphy remains the most commonly performed repair for inguinal hernias in the world. The surgical management of hernias has undergone extensive evolution over the past century, always with the goal of definitive repair with minimal morbidity for the patient. The choice of repair should be tailored to the patient and the clinical circumstances. Both tissue repairs and tension-free repairs have merit in experienced hands and in the correct setting.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Amid PK. Groin hernia repair: open techniques. World J Surg. 2005;29(8):1046–51.

    Article  Google Scholar 

  2. Amid PK, Shulman AG, Lichtenstein IL. Critical scrutiny of the open tension-free hernioplasty. Am J Surg. 1993;165:369–71.

    Article  CAS  Google Scholar 

  3. Amid PK. Lichtenstein tension-free hernioplasty: its inception, evolution, and principles. Hernia. 2004;8:1–7.

    Article  Google Scholar 

  4. Scott NW, McCormack K, Graham P, Go PM, Ross SJ, Grant AM. Open mesh versus non-mesh for repair of femoral and inguinal hernia. Cochrane Database Syst Rev. 2002;(4):CD002197.

    Google Scholar 

  5. Simons MP, Aufenacker T, Bay Nielsoen M, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13:343–403.

    Article  CAS  Google Scholar 

  6. Amid PK. New understanding of the causes and surgical treatment of postherniorrhaphy inguinodynia and orchialgia. J Am Coll Surg. 2007;205:381–5.

    Article  Google Scholar 

  7. Peiper C, Junge K, Klinge U, Strehlau E, Ottinger A, Schumpelick V. Is there a risk of infertility after inguinal hernia repair? Experimental studies in pig and rabbit. Hernia. 2006;10(1):7–12.

    Article  Google Scholar 

  8. Fitzgibbons RJ Jr, Richards AT, Quinn TH. Open hernia repair. In: Souba WW, Fink MP, Jurkovich GJ, Kaiser LR, Pearce WH, Pemberton JH, Soper NJ, editors. ACS surgery: principles and practice. New York: WebMD Professional Publishing; 2005. p. 603–24.

    Google Scholar 

  9. O’neill SM, et al. Groin hernia repair: open techniques. In: Novitsky YW, editor. Hernia surgery: current principles. Cham: Springer; 2016. p. 437–49.

    Google Scholar 

  10. Bendavid R, Koch A, Iakovlev VV. The Shouldice repair 2016. In: Hope WW, Cobb WS, Adrales GL, editors. The textbook of hernia. Cham: Springer International Publishing; 2017. p. 53–68.

    Chapter  Google Scholar 

  11. Amid PK, Shulman AG, Lichtenstein IL. Local anesthesia for inguinal hernia repair: step-by-step procedure. Ann Surg. 1994;220(6):735–7.

    Article  CAS  Google Scholar 

  12. Lichtenstein IL, Shore JM. Simplified repair of femoral and recurrent inguinal hernias by a “plug” technique. Am J Surg. 1974;128:439–44.

    Article  CAS  Google Scholar 

  13. Shulman AG, Amid PK, Lichtenstein IL. The plug repair of 1402 recurrent inguinal hernias. Arch Surg. 1990;125:265–7.

    Article  CAS  Google Scholar 

  14. Gilbert AI. Chapter 177: Generations of the plug and patch repair: its development and lessons from history. Mastery of surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2007. p. 1940–3.

    Google Scholar 

  15. Robbins AW, Rutkow IM. The mesh-plug hernioplasty. Surg Clin North Am. 1993;73(3):501–11.

    Article  CAS  Google Scholar 

  16. Rutkow AW, Robbins IM. The Marlex mesh prefix plug groin hernioplasty. Eur J Surg. 1998;164:549.

    Article  CAS  Google Scholar 

  17. Rutkow AW, Robbins IM. The mesh plug technique for recurrent groin herniorrhaphy: a nine year experience of 407 repairs. Surgery. 1998;124(5):844–7.

    Article  CAS  Google Scholar 

  18. Cristaldi M, Pisacreta M, et al. Femoro-popliteal bypass occlusion following mesh-plug for prevascular femoral hernia repair. Hernia. 1997;1:197–9.

    Article  Google Scholar 

  19. Dieter RA. Mesh plug migration into scrotum: a new complication of hernia repair. Int Surg. 1999;84:57–9.

    PubMed  Google Scholar 

  20. Jeans S, Williams G, Stephenson B. Migration after open mesh plug inguinal hernioplasty: a review of the literature. Am Surg. 2004;70:298–9.

    Google Scholar 

  21. LeBlanc KA. Complications associated with the plug and patch method of inguinal herniorrhaphy. Hernia. 2001;5:135–8.

    Article  CAS  Google Scholar 

  22. Alfieri S, Rotandi F, et al. Influence of preservation versus division of ilioinguinal, iliohypogastric, and genital nerves during open mesh herniorrhaphy. Prospective multicenter study of chronic pain. Ann Surg. 2006;243(4):553–8.

    Article  Google Scholar 

  23. Wijsmuller AR, Lang JFM, et al. Surgical technique preventing chronic pain after Lichtenstein hernia repair; state of the art vs. daily practice in the Netherlands. Hernia. 2007;11:147–51.

    Article  CAS  Google Scholar 

  24. Zwaans WAR, Verhagen T, Wouters L, Loos MJA, Roumen RMH, Scheltinga MRM. Groin pain characteristics and recurrence rates: three-year results of a randomized controlled trial comparing self-gripping Progrip mesh and sutured polypropylene mesh for open inguinal hernia repair. Ann Surg. 2018;267(6):1028–33.

    Article  Google Scholar 

  25. Sanders DL, Waydia S. A systematic review of randomised control trials assessing mesh fixation in open inguinal hernia repair. Hernia. 2014;18:165–76.

    Article  CAS  Google Scholar 

  26. Kingsnorth A, Gingell-Littlejohn M, Nienhuijs S, et al. Randomized controlled multicenter international clinical trial of self-gripping Parietex ProGrip polyester mesh versus lightweight polypropylene mesh in open inguinal hernia repair: interim results at 3 months. Hernia. 2012;16:287–94.

    Article  CAS  Google Scholar 

  27. Weyhe D, Belyaev O, Muller C, et al. Improving outcomes in hernia repair by the use of light meshes: a comparison of different implant constructions based on a critical appraisal of the literature. World J Surg. 2007;31(1):234–44.

    Article  Google Scholar 

  28. Verhagen T, Zwaans WA, Loos MJ, et al. Randomized clinical trial comparing self-gripping mesh with a standard polypropylene mesh for open inguinal hernia repair. Br J Surg. 2016;103:812–8.

    Article  CAS  Google Scholar 

  29. Bendavid R. The need for mesh. In: Bendavid R, editor. Prosthesis and abdominal wall hernias. Austin: RG Landes Co; 1994. p. 116–22.

    Google Scholar 

  30. Devlin HB, Gillen PHA, Waxman BP, MacNay RA. Short stay surgery for inguinal hernia: experience of the Shouldice operation, 1970-1982. Br J Surg. 1986;73:123–4.

    Article  CAS  Google Scholar 

  31. Simons MP, Kleijnen J, Van Geldere D, Hoitsma HFW, Obertop H. Role of the Shouldice technique in inguinal hernia repair: a systematic review of controlled trials and a meta-analysis. Br J Surg. 1996;83(6):734–8.

    Article  CAS  Google Scholar 

  32. Amato B, Moja L, Panico S, Persico G, Rispoli C, Rocco N, Moschetti I. Shouldice technique versus other open techniques for inguinal hernia repair. Cochrane Database Syst Rev. 2012;(4):CD001543.

    Google Scholar 

  33. Malik A, Bell CM, Stukel TA, Urbach DR. Recurrence of inguinal hernias repaired in a large hernia surgical specialty hospital and general hospitals in Ontario, Canada. Can J Surg. 2016;59(1):19–25.

    Article  Google Scholar 

  34. Dirksen CD, Beets GL, Go PM, Geisler FE, Baeten CG, Kootstra G. Bassini repair compared with laparoscopic repair for primary inguinal hernia: a randomised controlled trial. Eur J Surg. 1998;164(6):439–47.

    Article  CAS  Google Scholar 

  35. Magnusson N, Gunnarsson U, Nordin P, Smedberg S, Hedberg M, Sandblom G. Reoperation for persistent pain after groin hernia surgery: a population based study. Hernia. 2015;19:45–51.

    Article  CAS  Google Scholar 

  36. Bendavid R, Koch A, Morrison J, Petersen K, Grischkan D, Iakovlev V. A mechanism of mesh-related post-herniorrhaphy neuralgia. Hernia. 2016;20(3):357–65.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Bates, A., Docimo, S. (2019). Open Techniques: Mesh and Non-mesh Anatomical Repairs. In: Davis, Jr., S., Dakin, G., Bates, A. (eds) The SAGES Manual of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-78411-3_29

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-78411-3_29

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-78410-6

  • Online ISBN: 978-3-319-78411-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics