Surgery Today

, Volume 27, Issue 11, pp 1022–1025 | Cite as

A new preperitoneal repair for inguinal hernia using a transpositioned external oblique aponeurotic flap

  • M. M. Moneer
Original Articles

Abstract

This study consists of a preliminary report of 94 cases with various types of inguinal hernias. All cases were repaired by a new technique, in which the herniotomy is performed via a preperitoneal approach and the repair is achieved by using a bipedicled flap from the external oblique aponeurosis, which is transpositioned into the preperitoneal space and sutured to the iliopubic tract. The details of this technique are herein described. After a follow-up ranging from 15 to 48 months, both the early and late complications are presented. They were minimal and of minor significance, apart from a hernial recurrence in one case.

Key words

external oblique aponeurosis inguinal hernia preperitoneal repair 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Bassini E (1887) Sulla cura radicale dell'ernia inguinal. Arch Soc Ital Chir 4: 380Google Scholar
  2. 2.
    Halstead WS (1889) The radical cure of hernia. Bull John Hopkins Hosp 1: 2Google Scholar
  3. 3.
    Henry AK (1936) Operation for femoral hernia by a midline extraperitoneal approach: with a preliminary note on the use of this route for reducible inguinal hernia. Lancet 1: 531–533Google Scholar
  4. 4.
    Nyhus LM, Condar RE, Harkins HN (1960) Clinical experience with preperitoneal hernial repair for all types of hernia of the groin. Am J Surg 100: 234–244CrossRefPubMedGoogle Scholar
  5. 5.
    Nyhus LM (1993) Iliopubic tract repair of inguinal and femoral hernia: the posterior (pre-peritoneal) approach. Surg Clin North Am 73: 487–499PubMedGoogle Scholar
  6. 6.
    Morgan M, Reynolds A, Swan AB, et al. (1991) Are current techniques of inguinal hernia repair optimal? A survey in the United Kingdom. Ann R Coll Surg Engl 73: 341–345PubMedGoogle Scholar
  7. 7.
    Nyhus LM, Klein MS, Rogers FB (1991) Inguinal hernia. In: Wells Jr SA (ed) Current problems in surgery. Mosby Year book, St. Louis, MO, pp 403–449Google Scholar
  8. 8.
    Shafik A (1980) Invagination of the hernial sac stump: technique for repair of inguinal hernia. Am J Surg 140: 431–436CrossRefPubMedGoogle Scholar
  9. 9.
    Lifschultz H, Juler GL (1986) The inguinal darn. Arch Surg 121: 717–719Google Scholar
  10. 10.
    Ger R, Monroe K, Duvivier R, et al. (1990) Management of indirect inguinal hernias by laparoscopic closure of the neck of the sac. Am J Surg 163: 331–335Google Scholar
  11. 11.
    Filipe CJ, Fitzgibbons RJ, Salerno GM, et al. (1992) Laparoscopic herniorrhaphy. Surg Clin North Am 72: 1109–1124Google Scholar
  12. 12.
    Guarnicri A, Moscatelli F, Guarnieri F, Ravo B (1992) A new technique for indirect inguinal hernia repair. Am J Surg 164: 70–73Google Scholar
  13. 13.
    Rutkow IM, Robbins AW (1993) Tension-Free inguinal herniorrhaphy. A preliminary report on the mesh plug technique. Surgery 144: 3–8Google Scholar
  14. 14.
    Andrews EW (1895) Implication of lap-joint method: a plastic operation for hernia. Chicago Med Rec 9: 67–69Google Scholar
  15. 15.
    Zimmermann LM (1971) Recurrent inguinal hernia. Surg Clin North Am 51: 1317–1324Google Scholar
  16. 16.
    Lehnert B, Wadouth F (1992) High incidence of inguinal hernias and abdominal aortic aneurysms. Ann Vasc Surg 6: 134–137CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 1997

Authors and Affiliations

  • M. M. Moneer
    • 1
  1. 1.Mataria Teaching HospitalCairoEgypt

Personalised recommendations