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HerniaHernia
Abdominal Wall DefectAbdominal Wall Defect Congenital or acquiredCongenital or acquired
Potential for bowel obstructionPotential for bowel obstruction IncarcerationIncarceration StrangulationStrangulation
Posterior view Posterior view of the groinof the groin
“myopectineal “myopectineal orifice”orifice”
HH. . Fruchaud (1956)Fruchaud (1956)
Laparoscopic Inguinal Hernia Technique
Nomenclature in inguinal Nomenclature in inguinal hernia repairs in adultshernia repairs in adults
ShouldiceShouldice= 3 layer tissue repair= 3 layer tissue repair BassiniBassini repair- term often incorrectly used, specify repair- term often incorrectly used, specify
details!details! McVay-LotheissenMcVay-Lotheissen= use of suprapubic ligament= use of suprapubic ligament ““Open mesh repair”- specify!Open mesh repair”- specify! LichtensteinLichtenstein= anterior open repair with mesh onlay= anterior open repair with mesh onlay Mesh plug- with or without onlay (Mesh plug- with or without onlay (RutkowRutkow)) Special designs- (Special designs- (GilbertGilbert, , KugelKugel)) TEP = lap. preperitoneal hernioplastyTEP = lap. preperitoneal hernioplasty TAPP= lap. Transabd. preperitoneal hernioplastyTAPP= lap. Transabd. preperitoneal hernioplasty StoppaStoppa repair= Open wrapping of peritoneal sac with repair= Open wrapping of peritoneal sac with
..chronic herniorraphy pain represents a scientific ..chronic herniorraphy pain represents a scientific challenge because the pathogenesis, diagnostic challenge because the pathogenesis, diagnostic criteria, and therapeutic interventions all have been criteria, and therapeutic interventions all have been incompletely evaluated.. incompletely evaluated.. H. Kehlet, Hernia, 2002H. Kehlet, Hernia, 2002