title: [Inguinal hernioplasty with calibrated prosthesis (personal modification of the Trabucco technique].
abstract: From January 1994 to December 1997, the authors operated on 636 patients with primary inguinal hernia, using an original modification of Trabucco's tension-free and sutureless technique. The hernial defect is sized according to Gilbert's classification modified by Rutkow and Robbins and repaired with one or more plugs (up to four in the authors' experience) in relation to its extent. The posterior wall is reconstructed over the plugs encompassing the transversalis fascia and a wing of the plug superiorly and the iliopubic tract inferiorly. The double-layer polypropylene mesh is fashioned intraoperatively and the key-hole tailored to the variable distance between the spermatic cord and the pubic tubercle. All patients ambulated immediately after the operation, had a light meal two hours later and were discharged within one day of surgery. During a 3 months to 4 year follow-up only one recurrence has been recorded (0.16%). The proposed technique allows to perform a repair to measure ("calibrated") with minimal pain, immediate rehabilitation and early return to unrestricted activity.
authors.affiliation: Azienda Policlinico Unità Operativa Chirurgia Generale I Servizio di Chirurgia delle Ernie Università di Catania.
authors.forename: A
authors.initials: A
authors.lastname: Donati
authors.forename: A
authors.initials: A
authors.lastname: Privitera
authors.forename: G
authors.initials: G
authors.lastname: Brancato
authors.forename: M
authors.initials: M
authors.lastname: Donati
authors.forename: F
authors.initials: F
authors.lastname: Cardì
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D013526:Surgical Mesh; D013514:Surgical Procedures, Operative / Q000379:methods
vernacular_title: L'ernioplastica inguinale protesica calibrata (personale modifica della tecnica di Trabucco).