title: [Lichtenstein herniotomy].
abstract: All standard methods of hernia repair involve suturing together tissues which are not normally in apposition. This violates the basic surgical principle that tissue must never be approximated under tension and accounts for an unacceptable number of failures. Total reinforcement of the inguinal floor with a sheet of suitable biomaterial and employment of a "tension-free" technique is a more effective approach. Since June 1984, 3250 primary inguinal hernias have been repaired at the Lichtenstein Hernia Institute by the open tension-free technique using Marlex mesh. All operations were performed under local anesthesia. Patients were discharged from the hospital within two or four hours after the operation. The patients were followed from one to 8 years by physician examination. The follow-up rate was 87%. There were four recurrences. The causes of recurrence and how to avoid them are discussed.
authors.affiliation: Department for Surgery, Cedars-Sinai Medical Center, Harbor-UCLA Research and Education Institute.
authors.forename: P K
authors.initials: PK
authors.lastname: Amid
authors.forename: A G
authors.initials: AG
authors.lastname: Shulman
authors.forename: I L
authors.initials: IL
authors.lastname: Lichtenstein
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D013526:Surgical Mesh; D013536:Suture Techniques
vernacular_title: Die Herniotomie nach Lichtenstein.