BACKGROUND A Spigelian hernia is a congenital defect in the transversus aponeurosis fascia. Traditionally, an anterior hernioplasty was used to repair these defects. This study aimed to document our experience with laparoscopic transabdominal preperitoneal repair for Spigelian hernia. METHODS Eight patients underwent laparoscopic transabdominal Spigelian hernia repair. All patients underwent ...

Background Nowadays the gold standard of the incisional hernia surgical treatment seems to be the prosthetic repair. In the last 15 years many Authors published about the advantages of the laparoscopic treatment in front of the Open one, even if this issue till today remains controversial [1]. Anyway our group from 18 years is engaged on a clinical application of a third way of incisional herni...

1Division of Plastic and Reconstructive Surgery, 2The Hernia Center, 3Department of Surgery, Greenville Hospital System University Medical Center, Greenville, South Carolina, USA Correspondence: Dr James L Fowler, Division of Plastic and Reconstructive Surgery, Department of Surgery, 701 Grove Road, Greenville, South Carolina 29605, USA. Telephone 864-455-7886, fax 864-455-1320, e-mail jfowler@...

Repair of inguinal hernias may be performed using either open surgery or laparoscopic techniques. Following surgery, a 6-wk waiting period is generally recommended before a pilot returns to active duty, including flight in high-performance aircraft. A shorter waiting period would be operationally useful and may be possible following either a trans-abdominal preperitoneal (TAPP) laparoscopic tec...

INTRODUCTION Endoscopic surgical repair of inguinal hernia is currently conducted using 2 techniques: the totally extraperitoneal (TEP) and the transabdominal (TAPP) hernia repair. The TEP procedure is technically advantageous, because of the use of no mesh fixation and the elimination of the peritoneal flap, leading to less postoperative pain and faster recovery. The drawback is that TEP is no...

There is still little agreement among the anatomists and surgeons about the definition, nature, extent, attachments or functions of the transversalis fascia even when during laparoscopic surgery, structures are magnified, and various fascial planes are more clearly defined than in open surgery. In the present study while doing laparoscopic total extraperitoneal preperitoneal (TEP/TEPP) mesh her...

BACKGROUND Hernia repair is one of the most common surgical procedures, and some patients suffer from chronic pain after hernia surgery. The aim of the present study was to evaluate chronic postherniorrhaphy pain in men who underwent Lichtenstein mesh repair or preperitoneal (posterior) repair. METHODS Our study included 94 male inpatients. Two surgeons experienced in both Lichtenstein and pr...