title: [The transrectus sheath preperitoneal procedure: a safe, effective and cheap surgical approach to inguinal hernia?].
abstract: The main complication of surgery for inguinal hernia is chronic postoperative pain. This is often reported following the Lichtenstein procedure. A new, open surgical technique for the repair of inguinal hernia has been developed. This procedure is called the transrectus sheath preperitoneal procedure (TREPP). At TREPP a lightweight mesh with a ring made of memory metal is introduced into the preperitoneal space through the transrectus sheath. The first results of this operative technique are very promising: short operation time, short learning curve and not many patients with chronic postoperative pain. In a randomised, multi-centre study which will start mid-2013 (ISRCTN18591339), the TREPP procedure is compared with the transinguinal preperitoneal procedure. The primary outcome measure of this study is chronic postoperative pain.
authors.affiliation: UMC St Radboud, afd. Heelkunde, Nijmegen, the Netherlands. wiesjeprins@hotmail.com
authors.forename: M W Wiesje
authors.initials: MW
authors.lastname: Prins
authors.forename: D A Dasha
authors.initials: DA
authors.lastname: Voropai
authors.forename: C J H M Kees
authors.initials: CJ
authors.lastname: van Laarhoven
authors.forename: Willem L
authors.initials: WL
authors.lastname: Akkersdijk
mesh_terms: D003362:Cost-Benefit Analysis; D006552:Hernia, Inguinal / Q000150:complications / Q000601:surgery*; D059685:Herniorrhaphy / Q000191:economics / Q000379:methods*; D006801:Humans; D010149:Postoperative Pain / Q000209:etiology; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome