[Transinguinal preperitoneal mesh-plasty in inguinal hernia using local anesthesia].
Between January 1994 and December 1995 inguinal and femoral hernias were repaired in 689 adults. In 58 patients (4 primary hernias, 54 recurrent hernias, 1st-7th recurrence) a mesh prosthesis (Marlex) was implanted in the preperitoneal space using an open inguinal approach (TIPP). After intraoperative classification of the hernia, the indications for TIPP were L/M/Mc and F III type hernias and a weak or destroyed transverse fascia. The operative technique of TIPP is described in detail. Half of the procedures were done with the patient under local anesthesia. There were no intraoperative complications. Besides an increased number of seromas the postoperative course following TIPP was comparable with that after Shouldice procedures performed in the same period. During a follow-up period of 3-24 months to date, no recurrence has been observed. If intraoperative hernia classification is performed, TIPP is an appropriate technique for recurrence-prone inguinal and femoral hernias.
Schumpelick
V
V
Chirurgische Universitätsklinik und Poliklinik, RWTH Aachen.
Arlt
G
G
D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local; D005260:Female; D005500:Follow-Up Studies; D006550:Hernia, Femoral / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D019736:Prostheses and Implants; D012008:Recurrence; D012086:Reoperation; D013526:Surgical Mesh; D013536:Suture Techniques
Transinguinale präperitoneale Netzplastik (TIPP) beim Leistenbruch in Lokalanaesthesie.