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Hernia Surgery pp 437–449Cite as

Groin Hernia Repair: Open Techniques

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Abstract

Open techniques remain the most commonly utilized method of inguinal hernia repair and provide effective and safe treatment of all variations of groin hernias. All practicing hernia surgeons should be familiar with the anatomy and execution of tissue- and mesh-based techniques and should be proficient in at least one method of each. It is equally important to know and recognize the advantages and disadvantages of a specific technique to tailor individual treatment and maximize outcomes. This chapter provides a broad overview of the most common and successful open techniques. Regardless of the approach chosen, the fundamental principles underlying every successful surgical hernia repair that avoids both recurrence and chronic pain are a profound understanding of the neuroanatomy of the inguinal canal and the use of a technique that results in the lowest possible amount of tension on native tissues.

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References

  1. Simons MP, Aufenacker T, Bay-Nielsen M, et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia. 2009;13(4):343–403.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. McGillicuddy JE. Prospective randomized comparison of the Shouldice and Lichtenstein hernia repair procedures. Arch Surg. 1998;133:974–8.

    Article  CAS  PubMed  Google Scholar 

  3. Danielsson P, Isacson S, Hansen MV. Randomized study of Lichtenstein compared with Shouldice inguinal hernia repair by surgeons in training. Eur J Surg. 1999;165:49–53.

    Article  CAS  PubMed  Google Scholar 

  4. Nordin P, Bartelmess P, Jansson C, et al. Randomized trial of Lichtenstein versus Shouldice hernia repair general surgical practice. Br J Surg. 2002;89:45–9.

    Article  CAS  PubMed  Google Scholar 

  5. Stoppa R, Chevrel JP. Hernias and surgery of the abdominal wall. 2nd ed. New York: Springer; 1997.

    Google Scholar 

  6. Bendavid R, Chevrel JP. Hernias and surgery of the abdominal wall. 2nd ed. New York: Springer; 1997.

    Google Scholar 

  7. Desarda MP. Inguinal herniorrhaphy with an undetached strip of external oblique aponeurosis: new approach used in 400 patients. Eur J Surg. 2001;167:443–8.

    Article  CAS  PubMed  Google Scholar 

  8. Szopinski J, Dabrowiecki S, Pierscinski S, Jackowski M, Jaworski M, Szuflet Z. Desarda versus Lichtenstein technique for primary inguinal hernia treatment: 3-year results of a randomized clinical trial. World J Surg. 2012;36(5):984–92.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Bloodgood JC. Operations on 459 cases of hernia in the Johns Hopkins Hospital from, June, 1889 to January, 1899. Baltimore: Friedenwald Co; 1899.

    Google Scholar 

  10. Losanoff JE, Millis JM. Aponeurosis instead of prosthetic mesh for inguinal hernia repair: neither physiological nor new. Hernia. 2006;10(2):198–9; author reply 200–2002.

    Article  PubMed  Google Scholar 

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

    Article  PubMed  Google Scholar 

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

    Article  CAS  PubMed  Google Scholar 

  13. Amid PK. Causes, prevention, and surgical treatment of post- herniorrhaphy neuropathic inguinodynia: triple neurectomy with proximal end implantation. Hernia. 2004;8:343–9.

    Article  CAS  PubMed  Google Scholar 

  14. Lichtenstein IL, Shore JM. Simplified repair of femoral and recurrent inguinal hernias by a “plug” technic. Am J Surg. 1976;132:121.

    Article  CAS  PubMed  Google Scholar 

  15. Gilbert AI. Sutureless repair of inguinal hernia. Am J Surg. 1992;163:331–5.

    Article  CAS  PubMed  Google Scholar 

  16. Rutkow IM, Robbins AW. “Tension-free” inguinal herniorrhaphy: a preliminary report on the “mesh plug” technique. Surgery. 1993;114:3–8.

    CAS  PubMed  Google Scholar 

  17. Chuback JA, Singh RS, Sills C, et al. Small bowel obstruction resulting from mesh plug migration after open inguinal hernia repair. Surgery. 2000;127:475–6.

    Article  CAS  PubMed  Google Scholar 

  18. Tokunaga Y, Tokuka A, Oshumi K. Sigmoid colon diverticulosis adherent to mesh plug migration after open inguinal hernia repair. Curr Surg. 2001;58:493–4.

    Article  CAS  PubMed  Google Scholar 

  19. Benedetti M, Albertario S, Niebel T, et al. Intestinal perforation as a long-term complication of plug and mesh inguinal hernioplasty: case report. Hernia. 2005;9:93–5.

    Article  CAS  PubMed  Google Scholar 

  20. Murphy JW, Misra DC, Silverglide B. Sigmoid colonic fistula secondary to Perfix plug left inguinal hernia repair. Hernia. 2006;10:436–8.

    Article  CAS  PubMed  Google Scholar 

  21. Zubaidi A, Al Saghier M, Kabbani M, Abdo A. Colocutaneous fistula after mesh plug inguinal hernia repair—a delayed complication. Ann Saudi Med. 2006;26:385–7.

    PubMed  Google Scholar 

  22. Stout CL, Foret A, Christie DB, Mullis E. Small bowel volvulus caused by migrating mesh plug. Am Surg. 2007;73:796–7.

    PubMed  Google Scholar 

  23. Ishiguro Y, Horie H, Satih H, Miyakura Y, Yasuda Y, Lefor AT. Colocutaneous fistula after left inguinal hernia repair using the mesh plug technique. Surgery. 2009;145:120–1.

    Article  PubMed  Google Scholar 

  24. Moorman ML, Price PD. Migrating mesh plug: complication of well-established hernia repair technique. Am Surg. 2004;70:298–9.

    PubMed  Google Scholar 

  25. Yamamoto S, Kubota T, Abe T. A rare case of mechanical bowel obstruction caused by mesh plug migration. Hernia. 2014;19(6):983–5.

    Article  PubMed  Google Scholar 

  26. Amid PK. Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia. 1997;1:12–9.

    Article  Google Scholar 

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

    PubMed  Google Scholar 

  28. Kingsnorth AN, Hyland ME, Porter CA, et al. Prospective double- blind randomized study comparing Perfix plug-and-patch with Lichtenstein patch in inguinal hernia repair: one year quality of life results. Hernia. 2000;4:255–8.

    Article  Google Scholar 

  29. Lo DJ, Bilimoria KY, Pugh CM. Bowel complication after prolene hernia system (PHS) repair: a case report and review of the literature. Hernia. 2008;12:437–40.

    Article  CAS  PubMed  Google Scholar 

  30. Stoppa R, Petit J, Abourachid H, Henry X, Duclaye C, Monchaux G, Hillebrant JP. Original procedure of groin hernia repair: interposition without fixation of Dacron tulle prosthesis by subperitoneal median approach. Chirurgie. 1973;99:119–23.

    CAS  PubMed  Google Scholar 

  31. Rives J, Lardennois B, Flament JB, Convers G. The Dacron mesh sheet, treatment of choice of inguinal hernias in adults. Apropos of 183 cases. Chirurgie. 1973;99:564–75.

    CAS  PubMed  Google Scholar 

  32. Kugel RD. Minimally invasive, nonlaparoscopic, preperitoneal, and sutureless, inguinal herniorrhaphy. Am J Surg. 1999;178:298–302.

    Article  CAS  PubMed  Google Scholar 

  33. Pélissier EP, Blum D, Ngo P, Monek O. Transinguinal preperitoneal repair with the Polysoft patch: prospective evaluation of recurrence and chronic pain. Hernia. 2008;12:51–6.

    Article  PubMed  Google Scholar 

  34. Peeters E, Joniau S, Van Poppel H, Miserez M. Case-matched analysis of outcome after open retropubic radical prostatectomy in patients with previous preperitoneal inguinal hernia repair. Br J Surg. 2012;99(3):431–5.

    Article  CAS  PubMed  Google Scholar 

  35. Haifler M, Benjamin B, Ghinea R, Avital S. The impact of previous laparoscopic inguinal hernia repair on radical prostatectomy. J Endourol. 2012;26(11):1458–62.

    Article  PubMed  Google Scholar 

  36. Brunocilla E, Vece E, Lupo S, et al. Preperitoneal prosthetic mesh hernioplasty for the simultaneous repair of inguinal hernia during prostatic surgery: experience with 172 patients. Urol Int. 2005;75(1):38–42.

    Article  PubMed  Google Scholar 

  37. Antunes AA, Dall’oglio M, Crippa A, Srougi M. Inguinal hernia repair with polypropylene mesh during radical retropubic prostatectomy: an easy and practical approach. BJU Int. 2005;96(3):330–3.

    Article  PubMed  Google Scholar 

  38. Savetsky IL, Rabbani F, Singh K, Brady MS. Preperitoneal repair of inguinal hernia at open radical prostatectomy. Hernia. 2009;13(5):517–22.

    Article  CAS  PubMed  Google Scholar 

  39. Pélissier E, Ngo P. Subperitoneal inguinal hernioplasty by anterior approach, using a memory-ring patch. Preliminary results. Ann Chir. 2006;131:590–4.

    Article  PubMed  Google Scholar 

  40. Koning GG, de Schipper HJ, Oostvogel HJ, Verhofstad MH, Gerritsen PG, van Laarhoven KC, et al. The Tilburg double blind randomised controlled trial comparing inguinal hernia repair according to Lichtenstein and the transinguinal preperitoneal technique. Trials. 2009;10:89.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Koning GG, Keus F, Koeslag L, Cheung CL, Avçi M, van Laarhoven CJHM, Vriens PWHE. Randomized clinical trial of chronic pain after the transinguinal preperitoneal technique compared with Lichtenstein’s method for inguinal hernia repair. Br J Surg. 2012;99:1365–73.

    Article  CAS  PubMed  Google Scholar 

  42. Willaert W, De Bacquer D, Rogiers X, Troisi R, Berrevoet F. Open preperitoneal techniques versus Lichtenstein repair for elective inguinal hernias. Cochrane Database Syst Rev. 2012;7:CD008034.

    Google Scholar 

  43. Wantz GE. Technique of properitoneal hernioplasty. Unilateral reinforcement of the visceral sac with Mersilene giant prosthesis. Chirurgie. 1994;119(6–7):321–6.

    CAS  Google Scholar 

  44. Koning GG, Andeweg CS, Keus F, van Tilburg MWA, van Laarhoven CJHM, Akkersdijk WL. The transrectus sheath preperitoneal mesh repair for inguinal hernia: technique, rationale, and results of the first 50 cases. Hernia. 2012;16(3):295–9.

    Article  CAS  PubMed  Google Scholar 

  45. Prins MW, Koning GG, Keus EF, et al. Study protocol for a randomized controlled trial for anterior inguinal hernia repair: transrectus sheath preperitoneal mesh repair compared to transinguinal preperitoneal procedure. Trials. 2013;14:65.

    Article  PubMed  PubMed Central  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Lichtenstein Amid Hernia Clinic at UCLA, Santa Monica, CA, USA

    Sean M. O’Neill M.D., Ph.D., David C. Chen M.D. & Parviz K. Amid M.D.

  2. David Geffen School of Medicine at UCLA, Los Angeles, CA, 90095, USA

    Sean M. O’Neill M.D., Ph.D., David C. Chen M.D. & Parviz K. Amid M.D.

Authors
  1. Sean M. O’Neill M.D., Ph.D.
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  2. David C. Chen M.D.
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  3. Parviz K. Amid M.D.
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Corresponding author

Correspondence to David C. Chen M.D. .

Editor information

Editors and Affiliations

  1. Case Comprehensive Hernia Center, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Yuri W. Novitsky

Electronic Supplementary Material

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Open Lichtenshtein Inguinal repair, by Amid (MPG 773,594 kb)

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© 2016 Springer International Publishing Switzerland

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O’Neill, S.M., Chen, D.C., Amid, P.K. (2016). Groin Hernia Repair: Open Techniques. In: Novitsky, Y. (eds) Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-27470-6_42

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  • DOI: https://doi.org/10.1007/978-3-319-27470-6_42

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27468-3

  • Online ISBN: 978-3-319-27470-6

  • eBook Packages: MedicineMedicine (R0)

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