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Updated: Jul 7, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

Recurrent inguinal herniorrhaphy: the centripetal approach utilizing a pre-formed polypropylene plug.

¹Department of Surgery, Winthrop University Hospital, Mineola, NY, USA. maxdey@optonline.net

Hernia : the Journal of Hernias and Abdominal Wall Surgery

|January 29, 2008

Summary

A new centripetal technique for recurrent inguinal hernia repair significantly reduced recurrence rates compared to traditional methods. This approach minimizes tissue dissection, lowering complication risks and offering reproducible outcomes.

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Area of Science:

Surgical Innovation
Hernia Repair Techniques
Minimally Invasive Surgery

Background:

Recurrent inguinal hernias present a significant surgical challenge with high re-operation rates.
Traditional repair methods like the Shouldice technique involve extensive dissection and tissue tension, increasing complication risks.
Developing improved surgical strategies is crucial for better patient outcomes in hernia repair.

Purpose of the Study:

To introduce and evaluate a novel centripetal technique for repairing recurrent inguinal hernias.
To assess the efficacy and safety of this new approach in reducing recurrence and complications.
To compare the outcomes of the centripetal technique with historical data from conventional methods.

Main Methods:

A centripetal approach was developed, directly addressing the hernia sac and occluding its neck with a polypropylene plug for defects up to 3 cm.

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Last Updated: Jul 7, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair

Published on: December 23, 2022

For larger defects (>3 cm), mesh reinforcement of the posterior inguinal wall was employed using Rives or Kugel techniques.

This method was applied to 233 patients with recurrent inguinal hernias over a ten-year period.

Main Results:

The centripetal technique resulted in only three recurrences among 233 repaired recurrent inguinal hernias over a decade.
No instances of surgical site infection, testicular ischemia, or disabling neuropathy were reported.
The technique demonstrated a low complication profile and high success rate in managing recurrent inguinal hernias.

Conclusions:

The selective application of the centripetal technique offers good and reproducible results for recurrent inguinal hernia repair.
This innovative method appears to be a safe and effective alternative to traditional, more invasive procedures.
Further research may validate this technique as a standard of care for specific hernia types.