BACKGROUND Anterior open treatment of the inguinal hernia with a tension free mesh has reduced the incidence of recurrence and direct postoperative pain. The Lichtenstein procedure rules nowadays as reference technique for hernia treatment. Not recurrences but chronic pain is the main postoperative complication in inguinal hernia repair after Lichtenstein's technique. Preliminary experiences wi...

The pre-operative assessment of the patient, and the precautions against infection and DVT are identical to the open “mesh” procedure. The surgery requires the development of a preperitoneal space behind the abdominal muscles using a balloon dissector in the first instance and a subsequent structural balloon to maintain the space, together with insufflation with Carbon dioxide to facilitate vis...

Background. This study aims to evaluate and compare the results of inguinal herniorrhaphy with mesh in classic and preperitoneal method. Methods. Our study community includes 150 candidate patients for inguinal herniorrhaphy with mesh. Totally, 150 candidate patients for inguinal herniorrhaphy were randomly divided into two groups: (1) classic group in which the floor of the canal was repaired ...

Lumbar hernias, rarely seen in clinical practice, can be acquired after open or laparoscopic flank surgery. We describe a successful laparoscopic preperitoneal mesh repair of multiple trocar-site hernias after extraperitoneal nephrectomy. All the key steps including creating a peritoneal flap, reducing the hernia contents, and fixation of the mesh are described. A review of the literature on th...

PURPOSE Dislocation of the mesh is 1 cause of recurrence after laparoscopic inguinal hernia repair (LIHR). Here, we propose a new procedure, the "preperitoneal cavity suction technique," to confirm mesh position during LIHR under a transabdominal preperitoneal approach (TAPP). PATIENTS AND METHODS We developed the "preperitoneal cavity suction technique" during LIHR by TAPP, visualizing the m...

Laparoscopic herniorrhaphy has become an important procedure for the laparoscopic surgeon. Although in some situations controversial, it is a procedure that is here to stay. The two most common types of laparascopic herniorrhaphy have been previously described. Trans-abdominal preperitoneal (TAPP) necessitates entering the abdominal cavity. This puts the patient at risk for laparoscopic misadve...

BACKGROUND We aimed to compare plasma concentrations of carbon dioxide (CO(2)) in dogs that underwent intra- and preperitoneal CO(2) insufflation. MATERIALS AND METHODS Thirty dogs were studied. Ten formed a control group, 10 underwent intraperitoneal CO(2) insufflation, and 10 underwent preperitoneal CO(2) insufflation. General anesthesia with controlled ventilation was standardized for all ...

OBJECTIVE The authors provide an assessment of mechanisms leading to hernia recurrence after laparoscopic and traditional preperitoneal herniorrhaphy to allow surgeons using either technique to achieve better results. SUMMARY BACKGROUND DATA The laparoscopic and traditional preperitoneal approaches to hernia repair are analogous in principle and outcome and have experienced a similar evolutio...

PURPOSE We aimed to describe the surgical technique of hand-assisted retroperitoneoscopic nephroureterectomy (HARNU) with bladder cuffing after preperitoneal and retroperitoneal perivesical ballooning. MATERIALS AND METHODS From March 2008 to September 2012, we performed HARNU and open bladder cuffing in 28 consecutive series of patients with upper urinary tract urothelial carcinoma. We perfo...