Skip to main content
SpringerLink
Log in

Long-term result and current status of the Lichtenstein open tension-free hernioplasty

  • Papers
  • Published:
Hernia Aims and scope Submit manuscript

Summary

The tension-free hernioplasty project began in 1984 at the Lichtenstein Hernia Institute. The method consists of complete reinforcement of the inguinal floor with a large sheet of mesh, with adequate mesh tissue interface beyond the boundary of the inguinal floor and creation of a new internal ring made of prosthesis. The preliminary report of this operation was published in 1989, with no recurrence at that point in time. Shortly after the submission of the report, several recurrences were encountered. Based on the lesson learned from those recurrences, the operation was slightly modified and reported in 1991 [Amid 1993]. Since then, the Lichtenstein technique has gained world-wide popularity. Outcome measures identical to ours and other authors have been achieved by even those surgeons who have no special interest or expertise in herniology. The purpose of this article is to report the current state of the open tension-free hernioplasty for the repair of primary and recurrent inguinal hernias.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Abramson JH, Gafin J, Hopp C, et al. (1978) The epidemiology of inguinal hernia: a survey in western Jerusalem. J Epid Commun Health 32: 59

    Google Scholar 

  • Amid PK (1997) Classification of biomaterials and their related complications in abdominal wall hernia surgery. Hernia 1: 12–19

    Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL (1992) Cure chirurgicale des hernies de l'aine primaires ou récidivées par prothese et “plug” de polypropylene. Chirurgie 118: 551–559

    PubMed  Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL (1993) Critical scrutiny of the open tension-free hernioplasty. Am J Surg 165: 369–371

    PubMed  Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL (1994) Local anesthesia for inguinal hernia repair step-by-step procedure. Ann Surg 220: 735–737

    PubMed  Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL (1996) Simultaneous repair of bilateral inguinal hernias under local anesthesia. Ann Surg 223: 249–252

    PubMed  Google Scholar 

  • Amid PJ, Shulman AG, Lichtenstein IL, Hakakha M (1994) Biomaterials for abdominal wall hernia surgery and principles of their applications. Langenbecks Arch Chir 379: 168–171

    PubMed  Google Scholar 

  • Amid PK, Shulman AG, Lichtenstein IL, Hakakha M (1995) The goals of modern hernia surgery. How to achieve them: open or laparoscopic repair? In: Problems in General Surgery, Lippincott-Raven Publishers, Philadelphia, 12: 165–171

    Google Scholar 

  • Bonwich JP, Johnson DD, Read RC, et al. (1998) Randomized trial of superficial and preperitoneal prosthetic mesh placement in inguinal hernia repair. Hernia 2 [Suppl 1]: 3

    Google Scholar 

  • Chevrel JP, Gatt MT (1983) Que faire devant une névralgie apres cure de hernie? Entretiens de Bichat. Chirurgie 9–11

    Google Scholar 

  • Chevrel JP, Gatt MT (1992) The treatment of neuralgias following inguinal herniorraphy: a report of 47 cases. Postgraduate Gerneral Surg 4: 142–147

    Google Scholar 

  • Cristaldi M, Pisacreta M, Elli M, et al. (1997) Femoro-poplieteal by-pass occlusion following mesh plug for prevascular femoral hernia repair. Hernia 1: 197–199

    Google Scholar 

  • Davies N, Thomas M, Mcllroy TB, Kingsnorth AN (1994) Early results with the Lichtenstein tension-free hernia repair. Br J Surg 81: 1475–1480

    PubMed  Google Scholar 

  • Danielli PG, Kurihara H, Montecamozzo G, et al. (1997) Le complicanze dei plugs: infezioni e recidive. Hernia 1 [Suppl 1]: 5

    Google Scholar 

  • Gatt MT, Chevrel JP (1991) Traitement des névralgies après cure de hernie inguinale. Chirurgie 117: 96–104

    PubMed  Google Scholar 

  • Greenburg AG (1987) Revisting the recurrent groin hernia. Am J Surg 154: 35–40

    PubMed  Google Scholar 

  • Horeyseck G, Roland F, Rolfes N (1996) Die “spannungsfreie” Reparation der Leistenhernie; laparoskopisch (TAPP) versus offen (Lichtenstein). Chirurg 67: 1036–1040

    PubMed  Google Scholar 

  • Kark A (1993) Laparoscopic hernia repair. Med J Aust 7: 163–167

    Google Scholar 

  • Kux M, Fuchsjager N, Feichter A (1994) Lichtenstein patch versus Shouldice Technik bei primaren Leistenhernien mit hoher Rezidivgefährdung. Chirurg 655: 59–63

    Google Scholar 

  • Lichtenstein IL (1966) Immediate ambulation and return to work following herniorrhaphy. Indust Med Surg 35: 754–759

    Google Scholar 

  • Lichtenstein IL, Shulman AG, Amid PK, Montllor M (1988) Cause and prevention of post-herniorrhaphy neuralgia: a proposed protocol for treatment. Am J Surg 155: 786–90

    PubMed  Google Scholar 

  • Martin RE, Max CE (1984) Primary inguinal hernia repair with prosthetic mesh. Hosp Med 1: 1

    Google Scholar 

  • Panos RG, Beck DE, Maresh JE, Harford FJ (1992) Preliminary results of a prospective randomized study of Cooper's ligament versus Shouldice herniorrhaphy technique. Surg Gynecol Obstet 175: 315–18

    PubMed  Google Scholar 

  • Read RC (1992) A review: the role of protease-antiprotease imbalance in the pathogenesis of herniation and abdominal aortic aneurism in certain smokers. Postgrad Gen Surg 4: 161–165

    Google Scholar 

  • Rutten P, Ledecq M, Hoebeke Y, et al. (1992) Hernie inguinale primaire et hernioplastie ambulatoire selon Lichtenstein: premiers résultats cliniques et explications économiques. Etude des 130 premiers cas opérés. Acta Chir Belg 92: 168–171

    PubMed  Google Scholar 

  • Salama J, Sarfati E, Chevrel JP (1983) The anatomical bases of nerve lesions arising during the reduction of inguinal hernia. Anat Clin 5: 75–81

    Google Scholar 

  • Shulman AG, Amid PK, Lichtenstein IL (1995a) Mesh between the oblique muscles is simple and effective in open hernioplasty. Am Surg 4: 326–327

    Google Scholar 

  • Shulman AG, Amid PK, Lichtenstein IL (1995b) A survey of non-expert surgeons using the open tension-free mesh repair for primary inguinal hernias. Int Surg 80: 35–36

    PubMed  Google Scholar 

  • Smedgerg SGG, Broome AEA, Gullmo A (1984) Ligation of the hernia sac? Surg Clin North Am 64: 299

    PubMed  Google Scholar 

  • Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF (1984) The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 64: 269–286

    PubMed  Google Scholar 

  • Tinkler LF (1985) Inguinal hernia repair using local anesthesia. Ann R Coll Surg Engl 67: 268

    Google Scholar 

  • Wall PD (1988) The prevention of postoperative pain (editorial). Pain 33: 289–290

    PubMed  Google Scholar 

  • Wantz GE (1997) A 65-year-old man with an inguinal hernia. JAMA 277: 663–669

    PubMed  Google Scholar 

  • Woolf CJ (1989) Recent advances in the pathophysiology of acute pain. Br J Anaesth 63: 139–146

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Lichtenstein Hernia Institute, Departments of Surgery, Harbor-UCLA and Cedars-Sinai Medical Centers, USA

    P. K. Amid

  2. Harbor-UCLA Research and Educational Institute, Los Angeles, California, USA

    I. L. Lichtenstein

Authors
  1. P. K. Amid
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. I. L. Lichtenstein
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Amid, P.K., Lichtenstein, I.L. Long-term result and current status of the Lichtenstein open tension-free hernioplasty. Hernia 2, 89–94 (1998). https://doi.org/10.1007/BF01207492

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01207492

Key words

Search

Navigation