Summary
More than 500,000 hernia procedures are performed annually in the United States alone. The authors have devised a new technique for laparoscopic hernia repair. The peritoneum is not incised, as the space between the abdominal wall and the peritoneum is developed with CO2 and blunt dissection. The trocars and laparoscope are placed within this preperitoneal space. Mesh is stapled to Cooper's ligament and the underside of the abdominal wall. From November 1990 to January 1992, 68 herniae have been repaired in 35 patients. The first 25 patients were kept overnight for observation and discharged the following day. Thirty-two patients (92%) were able to resume full physical activity within 1 week. Average follow-up was only 12 months, but there were no recurrent or retained herniae.
Similar content being viewed by others
References
Cheatle GL (1920) An operation for the radical cure of inguinal and femoral hernia. Br Med J 2: 68
Corbitt JD (1991) Laparoscopic herniorrhaphy. Surg Lap End 1: 23–25
George SM, Mangante EC, et al (1991) Preperitoneal herniorrhaphy for the acutely incarcerated groin hernia. Am Surg 57: 139–141
Heifetz CJ (1971) Resection of the spermatic cord in selected inguinal hernias: twenty years experience. Arch Surg 102: 36
Lichtenstein IL, Shulman AG, Amid PK, Montllor MM (1989) The tension-free hernioplasty. Am J Surg 157: 188–193
Malangoni MA, Condon RE (1986) Preperitoneal repair of acute incarcerated and strangulated hernias of the groin. Surg Gynecol Obstet 162: 65–67
Nyhus LM, Pollak R, Bombeck TC, Donahue PE (1988) The preperitoneal approach and prosthetic buttress repair for recurrent hernia. Ann Surg 208: 733–737
Popp LW (1991) Improvement in endoscopic hernioplasty: transcutaneous aquadissection of the musculofascial defect and preperitoneal endoscopic patch repair. J Lap Surg 1: 83–90
Read R (1983) The Cheatle-Henry approach to the groin. Surg Rounds 50–57
Stoppa RE, Warlaumont CR (1989) The preperitoneal approach and prosthetic repair of groin hernia. In: Nyhus LM, Condon RE (eds) Hernia. JP Lippincott, Philadelphia, pp 199–225
Wantz GE (1984) Complications of inguinal hernia repair. Surg Clinics N Am 64: 287–291
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Phillips, E.H., Carroll, B.J. & Fallas, M.J. Laparoscopic preperitoneal inguinal hernia repair without peritoneal incision. Surg Endosc 7, 159–162 (1993). https://doi.org/10.1007/BF00594098
Issue Date:
DOI: https://doi.org/10.1007/BF00594098