title: Totally preperitoneal laparoscopic approach combined with minianterior dissection in the treatment of indirect inguinal hernias.
abstract: Totally preperitoneal laparoscopic hernioplasty has become more popular recently and will possibly replace the transabdominal preperitoneal procedure. This procedure, however, is more demanding for the surgeon, especially in large indirect hernias. We describe an alternative technique derived from Darzi's anterior endoscopic approach. To date, it has been used in 15 patients, all with good success. The technique results in a shorter operative time and is easier for the surgeon.
authors.affiliation: Department of Gastrointestinal Surgery, Saint-Pierre Hospital, Brussels, Belgium.
authors.forename: J
authors.initials: J
authors.lastname: Himpens
authors.forename: G B
authors.initials: GB
authors.lastname: Cadière
authors.forename: J
authors.initials: J
authors.lastname: Bruyns
authors.forename: R
authors.initials: R
authors.lastname: Verroken
mesh_terms: D000328:Adult; D000368:Aged; D000767:Anesthesia, Epidural; D000768:Anesthesia, General; D002245:Carbon Dioxide / Q000008:administration & dosage; D002404:Catheterization / Q000295:instrumentation; D004210:Dissection / Q000379:methods; D000071938:Fasciotomy; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D007327:Insufflation; D020706:Laparoscopes; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery*; D017568:Rectus Abdominis / Q000601:surgery
chemical_list: D002245:Carbon Dioxide