BACKGROUND Inguinal herniorrhaphy remains one of the most common general surgical operations, with approximately 15% performed for recurrence. The repair of the resulting recurrent hernia is a daunting task because of already weakened tissues and obscured and distorted anatomy. The aim of this study is to compare the posterior preperitoneal versus anterior tension-free approach for repair of un...

Laparoscopic hernia repair is a frequently performed operation. Although it has many advantages over open inguinal hernia repair, laparoscopic surgery is not without complications. Small bowel obstruction is a complication unique to laparoscopic repair of inguinal hernias. It is reported following transabdominal preperitoneal repairs. We present a case of small bowel incarceration through a per...

Sizable lipomas of spermatic cord were observed in the inguinal canals of 20 percent of adult male patients (N=25) who underwent laparoscopic total extra-peritoneal (TEPP) hernioplasty (N=30) for inguinal hernia. All cord lipomas were associated with a hernial sac – indirect 83% and direct 17%. Two-third of cord lipomas were small (1-2 cm) while one-third were moderate (2-4 cm) in size. All con...

PURPOSE To evaluate a new, low-cost, reusable balloon trocar device for dissection of the preperitoneal space during endoscopic surgery. METHODS Twenty swine (weight: 15-37 kg) were randomized to two groups, according to whether the preperitoneal space was created with a new balloon device manufactured by Bhio-Supply (group B) or with the commercially available OMSPDB 1000® balloon device man...

INTRODUCTION The advantage of using minimally invasive techniques over open techniques in the repair of inguinal hernias remains unclear. One of the more established indications for the performance of minimally invasive (e.g. endoscopic preperitoneal) herniorrhaphy is the presence of bilateral hernias. However, no prior study has compared the recovery following unilateral and bilateral endoscop...

OBJECTIVES We report our experience with posterior preperitoneal prosthetic herniorrhaphy for inguinal hernia in patients undergoing concomitant pelvic surgery for both benign and malignant urological pathologies. METHODS 116 patients with either unilateral or bilateral inguinal hernia underwent posterior preperitoneal prosthetic herniorrhaphy during a pelvic operation for various urological ...

BACKGROUND Among endoscopic hernioplasties, totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) approach are widely accepted alternatives to open surgery, both providing less postoperative pain, hospital length of stay and early return to work. Classical TEP technique requires three skin incisions for placement of three trocars in the midline or in triangulation. AIM To desc...