An easier Lichtenstein hernioplasty. 2018

L Zogbi
Faculdade de Medicina (FAMED), Universidade Federal do Rio Grande (FURG), Campus da Saúde, Área Acadêmica. Rua Visconde de Paranaguá, 102, Secretaria Geral da FAMED, Zip Code 96203-900, Rio Grande, Brazil. zogbi@furg.br.

The Lichtenstein technique is used worldwide because of its rapid learning curve, good results and low recurrence rates. In this approach, a lateral tie-shaped incision is made on the mesh, involving the spermatic funiculus and thus correcting the deep inguinal ring defect by narrowing it. The lateral tie, however, does not prevent the wrinkling of the upper portion of the mesh that is caused by the arched shape of the inguinal ligament, where the lower edge of the prosthesis is sutured. To describe a variation of the Lichtenstein technique that is easy to perform, maintains the advantages and prevents wrinkling of the mesh and allows for better mesh accommodation in the inguinal region. The main feature of this approach is to cut the mesh vertically and to make the tie over the spermatic cord by overlapping the two resulting portions without wrinkling them. The final appearance is clearly more anatomical, allowing the mesh to be perfectly adapted for each patient. We operated on consecutive patients using this approach for more than 5 years. There have been no recurrences or specific mesh complications during follow-up, and the surgical aspect of this technique was clearly more anatomical. This method appears to be easier to perform and the surgical aspects of the technique are more anatomical for the patient.

UI MeSH Term Description Entries
D006552 Hernia, Inguinal An abdominal hernia with an external bulge in the GROIN region. It can be classified by the location of herniation. Indirect inguinal hernias occur through the internal inguinal ring. Direct inguinal hernias occur through defects in the ABDOMINAL WALL (transversalis fascia) in Hesselbach's triangle. The former type is commonly seen in children and young adults; the latter in adults. Inguinal Hernia,Inguinal Hernia, Direct,Inguinal Hernia, Indirect,Direct Inguinal Hernia,Direct Inguinal Hernias,Hernia, Direct Inguinal,Hernia, Indirect Inguinal,Hernias, Direct Inguinal,Hernias, Indirect Inguinal,Hernias, Inguinal,Indirect Inguinal Hernia,Indirect Inguinal Hernias,Inguinal Hernias,Inguinal Hernias, Direct,Inguinal Hernias, Indirect
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013526 Surgical Mesh Any woven or knit material of open texture used in surgery for the repair, reconstruction, or substitution of tissue. The mesh is usually a synthetic fabric made of various polymers. It is occasionally made of metal. Mesh, Surgical,Meshes, Surgical,Surgical Meshes
D059685 Herniorrhaphy Surgical procedures undertaken to repair abnormal openings through which tissue or parts of organs can protrude or are already protruding. Hernia Repair,Hernioplasty,Hernia Repairs,Hernioplasties,Herniorrhaphies,Repair, Hernia,Repairs, Hernia

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