Comparison to Open Techniques

  • Baukje Van Den HeuvelEmail author
  • Robert J. FitzgibbonsJr.
  • Reinhard Bittner


Within the last century many new techniques to repair an inguinal hernia have been developed. A prosthetic-based repair has gained more and more support because of lower recurrence rate when compared to a pure tissue repair and is regarded as the gold standard. The basic principle of the prosthetic repair is to reinforce the posterior wall of the inguinal canal. Currently polypropylene in mesh form is the most popular material for doing this. The material can be placed anteriorly with an open conventional approach such as the Lichtenstein operation or posteriorly as with the laparoscopic repairs. Pure tissue repairs such as the Shouldice operation remain popular especially in certain specialty centers. In this chapter, the outcomes of the open techniques will be critically compared to laparoscopic inguinal herniorrhaphy.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Baukje Van Den Heuvel
    • 1
    Email author
  • Robert J. FitzgibbonsJr.
    • 2
  • Reinhard Bittner
    • 3
  1. 1.SurgeryVUMCAmsterdamThe Netherlands
  2. 2.Department of General SurgeryCreighton University School of MedicineOmahaUSA
  3. 3.Winghofer Medicum, Hernienzentrum Rottenburg a.N.Rottenburg am NeckarGermany

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