Polysoft Patch for Inguinal Hernia Repair

  • Edouard P. PélissierEmail author
  • Giel G. Koning
  • Philippe Ngo
Part of the Updates in Surgery book series (UPDATESSURG)

9.1. Introduction

The Polysoft patch for inguinal hernia repair was conceived on the basis of the following specifications:
  • preperitoneal repair by a minimally invasive inguinal approach

  • introduction and deployment of a prosthetic patch through the hernia orifice, without any other damage to the abdominal wall

  • covering of the weak inguinal area and femoral orifice with minimal overlapping on visceral and vascular structures

  • limiting the amount of foreign material to one single mesh layer.

  • sutureless technique.

A flat mesh, equipped with a memory-ring made of absorbable material, so that only the flat mesh remained in place after the memory-ring was absorbed, fulfilled these specifications. This was the concept of the initial Pélissier patent (1998).

Two trials were undertaken by the inventing author to assess this concept. The first one was carried out on a series of patients with a weak posterior wall, using a technique derived from the Rives technique, which consisted of...


Lateral Compartment Spermatic Cord Inguinal Canal Preperitoneal Space Transversalis Fascia 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Pélissier EP, Blum D, Marre P et al (2001) Inguinal hernia: a patch covering only the myopectineal orifice is effective. Hernia 5:84–87CrossRefGoogle Scholar
  2. 2.
    Pélissier EP (2006) Inguinal hernia: preperitoneal placement of a memory-ring patch by anterior approach. Preliminary experience. Hernia 10:248–252CrossRefPubMedGoogle Scholar
  3. 3.
    Pélissier EP, Monek O, Blum D et al (2007) The Polysoft patch: prospective evaluation of feasibility, postoperative pain and recovery. Hernia 11:229–234CrossRefPubMedGoogle Scholar
  4. 4.
    Pélissier EP, Blum D, Ngo P et al (2008) Transinguinal preperitoneal repair with the Polysoft patch: prospective evaluation of recurrence and chronic pain. Hernia 12:51–56CrossRefPubMedGoogle Scholar
  5. 5.
    Berrevoet F, Sommeling C, De Gendt S et al (2009) The preperitoneal memory-ring patch for inguinal hernia: a prospective multicentric feasibility study. Hernia 13:243–249CrossRefPubMedGoogle Scholar
  6. 6.
    Pélissier EP (2009) Preperitoneal memory-ring patch for inguinal hernia. Re: Preperitoneal memory-ring patch for inguinal hernia: a prospective multicentric feasibility study, Berrevoet et al (2009). Hernia 13:451–452PubMedGoogle Scholar
  7. 7.
    Gillion JF, Chollet JM (2013) Chronic pain and quality of life (QoL) after transinguinal pre-peritoneal (TIPP) inguinal hernia repair using a totally extraperitoneal, parietalized, Polysoft memory ring patch: a series of 622 hernia repairs in 525 patients. Hernia 17:683–692CrossRefPubMedGoogle Scholar
  8. 8.
    Koning GG, Keus F, Koeslag L et al (2012) Randomized clinical trial of chronic pain after the transinguinal preperitoneal technique compared with Lichtenstein’s method for inguinal hernia repair. Br J Surg 99:1365–1373CrossRefPubMedGoogle Scholar
  9. 9.
    Maillart JF, Vantournhoudt P, Piret-Gerard G et al (2011) Transinguinal preperitoneal groin hernia repair using a preperitoneal mesh preformed with a permanent memory ring: a good alternative to Lichtenstein’s technique. Hernia 15:289–295CrossRefPubMedPubMedCentralGoogle Scholar
  10. 10.
    Koning GG, de Vries J, Borm GF et al (2013) Health status one year after Transinguinal preperitoneal inguinal hernia repair and Lichtenstein’s method: an analysis alongside a randomized clinical study. Hernia 17:299–306CrossRefPubMedGoogle Scholar
  11. 11.
    Koning GG, Adang EM, Stalmeier PF et al (2013) TIPP and Lichtenstein modalities for inguinal hernia repair: a cost minimisation analysis alongside a randomised trial. Eur J Health Econ 14:1027–1034CrossRefPubMedGoogle Scholar
  12. 12.
    Bjurstrom MF, Nicol AL, Amid PK et al (2014) Pain control following inguinal herniorrhaphy: current perspectives. J Pain Res 7:277–290PubMedPubMedCentralGoogle Scholar
  13. 13.
    Demirer S, Kepenekci I, Evirgen O et al (2006) The effect of polypropylene mesh on ilioinguinal nerve in open mesh repair of groin hernia. J Surg Res 131:175–181CrossRefPubMedGoogle Scholar
  14. 14.
    Langeveld HR, van’t Riet M, Weidema WF et al (2010) Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial. Ann Surg 251:819–824CrossRefPubMedGoogle Scholar
  15. 15.
    Eker HH, Langeveld HR, Klitsie PJ et al (2012) Randomized clinical trial of total extraperitoneal inguinal hernioplasty vs Lichtenstein repair: a long-term follow-up study. Arch Surg 147:256–260CrossRefPubMedGoogle Scholar
  16. 16.
    Eklund A, Montgomery A, Bergkvist L et al (2010) Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg 97:600–608CrossRefPubMedGoogle Scholar
  17. 17.
    Pélissier EP, Ngo P, Gayet B (2011) Transinguinal preperitoneal patch (TIPP) under local anesthesia with sedation. Am Surg 77:1681–1684PubMedGoogle Scholar
  18. 18.
    Koning GG, Andeweg CS, Keus F et al (2012) The transrectus sheath preperitoneal mesh repair for inguinal hernia: technique, rationale, and results of the first 50 cases. Hernia 16:295–259CrossRefPubMedGoogle Scholar
  19. 19.
    Lange JF, Lange MM, Voropai DA et al (2014) Trans rectus sheath extra-peritoneal procedure (TREPP) for inguinal hernia: the first 1,000 patients. World J Surg 38:1922–1928PubMedGoogle Scholar
  20. 20.
    Lourenço A, da Costa RS (2013) The ONSTEP inguinal hernia repair technique: initial clinical experience of 693 patients, in two institutions. Hernia 17:357–364CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l. 2017

Authors and Affiliations

  • Edouard P. Pélissier
    • 1
    Email author
  • Giel G. Koning
  • Philippe Ngo
  1. 1.The Hernia Institute ParisParisFrance

Personalised recommendations