title: Laparoscopic totally extraperitoneal hernioplasty with nonfixation of three-dimensional mesh: Dulucq's technique.
abstract: BACKGROUND
  The inguinal hernia repair has been a controversial area in the surgical practice ever since it has been conceived. The fact that numerous different procedures are in use reflects the complexity of inguinal hernia and its repair.
  
  
  OBJECTIVE
  The purposes of this study were to describe Dulucq's technique and the modifications of using 3-D mesh in laparoscopic totally extraperitoneal inguinal hernia repair.
  
  
  METHODS
  Surgical technique of laparoscopic totally extraperitoneal hernia repair is detailed on the text.
  
  
  CONCLUSIONS
  Laparoscopic totally extraperitoneal is preferred over transabdominal preperitoneal hernia as the peritoneum is not violated. The dissection must always be done with the same stages, without monopolar diathermy and the patient in a slight Trendelenburg position. Following these recommendations, the laparoscopic totally extraperitoneal hernioplasty is feasible with fewer intra-abdominal complications.
authors.affiliation: Department of Surgery, Professor Edmundo Vasconcelos Hospital, São Paulo, Brazil. almmeyer@usp.br
authors.forename: Alberto
authors.initials: A
authors.lastname: Meyer
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Dulucq
authors.forename: Ahmad
authors.initials: A
authors.lastname: Mahajna
mesh_terms: D004867:Equipment Design; D017408:Guidelines as Topic; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D010537:Peritoneum; D013526:Surgical Mesh