Properitoneal Prosthetic Inguinal Hernioplasty Through a Pfannenstiel Approach

Rignault, D

doi:10.1016/s0022-5347(17)44392-8

Cited by 18 publications

(24 citation statements)

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“…The recurrence rate ranges from 1.2 to 3.5% [Cubertafond and Gainant 1988, Gainant and Cubertafond 1991, Nyhus et al 1988, Stoppa et al 1983, 1986, Wantz 1991. Recurrences generally occur during the year following the operation.…”

Section: Discussionmentioning

confidence: 99%

“…Recurrences generally occur during the year following the operation. They are related to technical errors such as folding of the prosthesis, improper positioning, or a prosthesis that is too small [Stoppa et al 1983, 1986, Wantz 1991.…”

Section: Discussionmentioning

confidence: 99%

“…Long-term results following GPRVS are excellent [Cubertafond and Gainant 1988, Gainant and Cubertafond 1991, Rignault 1986, Stoppa et al 1983, 1986, Wantz 1989]. …”

Section: Discussionmentioning

confidence: 99%

“…Epidural and spinal anesthesia can be used although they may slightly complicate the surgeon's task. Lastly, when esthetic considerations are important, the myopectineal orifice can be approached through a Pfannenstiel incision [Rignault 1986 ].…”

Section: Discussionmentioning

confidence: 99%

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Bilateral inguinal hernias: giant prosthetic reinforcement of the visceral sac

Mathonnet

Cubertafond

Gainant

1997

Hernia

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Summary: The aim of this retrospective study was to assess the short-and long-term results of treatment with giant prosthetic reinforcement of the visceral sac (GPRVS) in men with bilateral inguinal hernias. From 1981 to 1995, 1,048 men, mean age 60 years underwent this procedure. 66% of patients were over 50 years of age. 198 patients were operated on for recurrent hernia (18.8%). A subumbilical midline approach was performed in 99% of cases. An unabsorbable prosthesis of appropriate size was placed in the preperitoneal space and sutured to the umbilical fascia. Maximum follow-up was 15 years, and 76.5% of patients were followed for more than one year. The immediate postoperative course was uncomplicated in 91.4% of cases. Postoperative mortality was 0.19%. A postoperative complication developed in 3.8% of patients. The recurrence rate was 1.6%. Despite advances in the laparoscopic treatment of groin hernias, this study demonstrates the short-and long-term reliability of GPRVS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Long-term results following GPRVS are excellent [Cubertafond and Gainant 1988, Gainant and Cubertafond 1991, Rignault 1986, Stoppa et al 1983, 1986, Wantz 1989]. …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Bilateral inguinal hernias: giant prosthetic reinforcement of the visceral sac

Mathonnet

Cubertafond

Gainant

1997

Hernia

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“…The low incidence of recurrence, low complication rate and high level of patient satisfaction are in accord with other studies of open preperitoneal repair. [17][18][19][20][21][22][23] The advantages of preperitoneal repair thus include:…”

Section: Discussionmentioning

confidence: 99%

Open Preperitoneal Mesh Repair for Inguinal Hernia: A Viable Option

Chandu¹,

Yethadka²

2014

jemds

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BACKGROUND:Inguinal hernia still remains a significant clinical problem despite the availability of variety of surgical techniques. This study was designed to evaluate the outcome and benefit of open preperitoneal mesh repair. OBJECTIVE: To evaluate the open preperitoneal mesh repair technique regarding complications, recurrences, safety and benefit. PATIENTS AND METHODS: Between July 2013 and June 2014, a prospective study of 25 consecutive patients operated for groin hernia using an open preperitoneal mesh technique was performed. The outcome variables being analyzed included operative time, time to return to normal activity, pain level, complications and recurrence rate. RESULTS: Wound infection occurred in only 1 patient. No seroma or recurrence was observed. Moreover, pain and hospital stay were not different from those obtained by other repair techniques. CONCLUSIONS: Open preperitoneal mesh repair is a safe procedure and gives a good result similar to those of the commonly used anterior approaches. It is easier to learn than laparoscopic repair and should be the procedure of choice for difficult inguinal hernias.

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Are postoperative complaints and complications influenced by different techniques in fashioning and fixing the mesh in transperitoneal laparoscopic hernioplasty? Results of a prospective randomized trial

et al. 2002

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It is unknown at present what the best method is among mesh implantation, central incision, reconstructing the deep inguinal ring, or a non-incised mesh implant in laparoscopic hernia surgery. Further, it is unproven to what extent a circular enclosure of the cremasteric structures by an incised mesh implant could cause postoperative complications and complaints. To evaluate the possible effects of different configurations and fixation techniques of mesh implants in transperitoneal repair of inguinal hernias, a randomized trial (phase IIIa study) was conducted to compare incised versus non-incised mesh and clip fixation versus suturing the mesh. A total of 360 male patients with unilateral primary hernias were randomized to 3 groups. Postoperative complaints were documented by means of a visual analog scale. These values showed no significant differences between study arms. At the first postoperative control, on day 3, patients after repair of Nyhus type II hernias had significantly fewer complaints than those after Nyhus type IIIa and IIIb repair. To gain additional facts, a duplex flow examination of testicular vessels was performed pre- and postoperatively. Testicular perfusion was not influenced by mesh configurations in the trial. There were no statistical differences in postoperative complications and recurrence rates between groups. In conclusion no influence on postoperative complaints and complications could be demonstrated by different mesh fashioning and fixation alternatives studied in this trial.

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Properitoneal Prosthetic Inguinal Hernioplasty Through a Pfannenstiel Approach

Cited by 18 publications

References 0 publications

Bilateral inguinal hernias: giant prosthetic reinforcement of the visceral sac

Bilateral inguinal hernias: giant prosthetic reinforcement of the visceral sac

Open Preperitoneal Mesh Repair for Inguinal Hernia: A Viable Option

Are postoperative complaints and complications influenced by different techniques in fashioning and fixing the mesh in transperitoneal laparoscopic hernioplasty? Results of a prospective randomized trial

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