Procedural options for laparoscopic inguinal hernial repair--what should the general physician recommend?

For the repair of inguinal hernias the conventional Bassini, Shouldice and Lichtenstein procedures, plug repair and laparoscopic procedures are available. The latter may be a totally endoscopic preperitoneal repair (TEP) or a transabdominal preperitoneal meshplasty (TAPP), usually applying polypropy...

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Bibliographic Details
Published inMMW Fortschritte der Medizin Vol. 148; no. 5; p. 40
Main Authors Welter, H F, Wendland, S
Format Journal Article
LanguageGerman
Published Germany 02.02.2006
Subjects
Adult
Aged
Hernia, Inguinal - surgery
Humans
Infertility, Male - etiology
Laparoscopy - methods
Male
Middle Aged
Postoperative Complications - etiology
Prosthesis Implantation
Recurrence
Reoperation
Risk Factors
Surgical Mesh
Surgical Staplers
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Summary:For the repair of inguinal hernias the conventional Bassini, Shouldice and Lichtenstein procedures, plug repair and laparoscopic procedures are available. The latter may be a totally endoscopic preperitoneal repair (TEP) or a transabdominal preperitoneal meshplasty (TAPP), usually applying polypropylene meshes. In general, alloplastic material should not be used in patients younger than 45, so as to prevent possible groin or testicular complaints, or avoid difficulties with a scar plate in the event of subsequent surgery. Exceptions are, for example, large recurrences or an expressed preference on the part of the patient.
ISSN:1438-3276