Crucial steps in the evolution of the preperitoneal approaches to the groin: an historical review

Abstract

Preperitoneal approaches to the repair of primary, bilateral, recurrent, inguinal, and femoral herniae, the most common abdominal protrusions, now dominate techniques of repair. The purpose of this review is to outline crucial steps which have led to this result. Abernethy (Surgical cases and remarks. Of the operation for the aneurysm. Cadell and Davies (Strand), London, pp. 149-176, 1797) introduced an operation to treat aneurysms of the external iliac artery, which was endorsed by Cooper (The anatomy and surgical treatment of abdominal hernia. Longman and Co, London, 1804). Bogros (Essai sur l'anatomie chirurgical de la region iliac et description d'un nouveau procede pour faire la ligature des arteries epigastric et iliaque externe. Th. Paris, no. 153. A Paris, de l'imprimerie de Didot le Jeune, imprimeur de la Faculte de Medicine, rue des Macons, Sorbonne no. 13, 1823) described his preperitoneal space which continues into the suprapubic space of Retzius. Annandale (Edinb Med J 21:1087-1091, 1876) initiated anterior preperitoneal repair. Cheatle (Br Med J 2:68-69, 1920, Br Med J 2:1025-1026, 1921) demonstrated the median posterior preperitoneal approach, resurrected by Henry (Lancet 1:531-533, 1936). McEvedy (Ann R Coll Surg Engl 7:484-496, 1950) modified the Cheatle-Henry procedure by using a unilateral oblique incision in the rectus sheath and underlying transversalis fascia with medial retraction of the rectus muscle. Estrin et al. (Surg Gynecol Obstet 116:547-550, 1963) reinforced this repair with prostheses attached to Cooper's ligament, thereby, eliminating tension. Anterior prosthetic preperitoneal repair was introduced by Usher et al. (Am Surg 24:969-974, 1958) using polyethylene and, later, polypropylene meshes which were not slit, since the spermatic cord was lateralized. Stoppa et al., beginning in 1965, performed giant prosthetic reinforcement of the visceral sac, covering Fruchaud's myopectineal orifice preperitoneally with extensive overlap. They used a posterior approach to avoid scarring in recurrent cases and to allow the exposure of large, bilateral, inguinal, and femoral sacs (Rev Med Picardie 1:46-46, 1972). Wantz (Surg Gynecol Obstet, 169:408-417, 1989) proposed a unilateral version. Gilbert (Am J Surg 163:331-335, 1992) described the anterior preperitoneal sutureless repair of groin herniation. He employed a two-layered prosthesis, the upper resting on the transversalis fascia, the lower in the space of Bogros. They were connected by a plug passed through the internal inguinal ring. Kugel (Am J Surg 178:298-302, 1999) described his anterior preperitoneal prosthetic repair of groin herniation through an abdominal gridiron incision. Laparoscopic repair of groin protrusions began in 1982 (Ger; Ann R Coll Surg Engl 64:342-344, 1982). In 1992, Arregui et al. (Surg Laparosc Endosc 2:53-58, 1992) and Dion and Morin (Can J Surg 35:209-212, 1992) reported on their transabdominal preperitoneal (TAPP) approach. To avoid intraperitoneal complications, Dulucq (Cahiers Chir 79:15-16, 1991) recommended...

The Use of Biomaterials to Treat Abdominal Hernias

“…Independently of the technique employed, after covering the hernia site adequately, the mesh must be fixed to the abdominal wall in order to prevent it from folding over or www.intechopen.com migrating. It may be fixed simply by physical principles of pressure between layers of the abdominal wall (Stoppa & Rives, 1984), by means of a suture with inadsorbable thread (Lichtenstein et al, 1989), absorbable thread (Gianlupi & Trindade, 2004), clips (Read, 2011) or fibrin glue (Agresta & Bedin, 2008;Negro et al, 2011). For fixation of the mesh in ventral hernia repair, most authors have used an ex traperitoneal -but intraperitoneal is also possible ( fig.6a) fig.6c), such that the mesh is sutured to the fascial edges, and an onlay technique whereby the mesh is placed and sutured onto the anterior rectus sheath (Fig.6d).…”

Biomaterials for Hernia Repair in Animals; a Review

“…In the latter it can be placed either as inlay or outlay. The prosthetic material can be applied simply by physical pressure between the layers of abdominal wall (Stoppa and Rives, 1984), by suturing with non-absorbable material (Lichtenstein et al, 1989), absorbable material (Gianlupi and Trindade, 2004), clips (Read, 2011) or fibrin glue (Agresta and Bedin, 2008;Negro et al, 2011). One advantage of inlay technique is minimal dissection of soft tissue, thereby reducing devascularised tissue and its drawback is high recurrence rate.…”

Resultados Quirúrgicos De La Hernioplastía Inguinal Laparoscópica Con Técnica Transabdominal Pre-Peritoneal (Tapp)

“…La era moderna de la cirugía de la hernia inguinal se inicia con el desarrollo de las técnicas que refuerzan las paredes del conducto inguinal, con resultados muy variables a excepción de lo mostrado con la técnica de Shouldice, en algunos centros 5 . Posteriormente surge el concepto "libre de tensión" con el uso de malla sintética, con mejores resultados que han sustentado su uso hasta el día de hoy [6][7][8] . La primera reparación herniaria laparoscópica fue descrita por Ger en 1982 9 , en 1992 Arregui y colaboradores 10 , comunican el procedimiento de reparación transabdominal preperitoneal (TAPP).…”