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Extraperitoneal laparoscopic hernia repair: experience in 178 patients
B N Gardiner1, A K Chin, F H Moll
1Attending Surgeon, Summit Medical Center, Oakland, Alta Bates Medical Center, Berkeley Associate Clinical Professor, Department of Surgery, University of California Davis Medical Center, Davis, CA.
Surgical Technology International
|February 15, 2011
Summary
Laparoscopic inguinal hernia repair techniques have evolved, moving from early stapled closures to prosthetic mesh plug methods for improved outcomes.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Hernia Repair
Background:
- Laparoscopic inguinal hernia repair has seen significant technique evolution.
- Early methods involved specialized instruments for stapled closure.
- Subsequent techniques utilized prosthetic mesh plugs and patches.
Purpose of the Study:
- To review the evolution of laparoscopic inguinal hernia repair techniques.
- To describe early and subsequent surgical approaches.
Main Methods:
- Review of historical surgical techniques for laparoscopic inguinal hernia repair.
- Description of the Ger technique (stapled closure).
- Description of the Schultz and Corbitt technique (mesh plug and patch).
Main Results:
- The Ger technique employed a 12-mm instrument for stapled closure of the internal ring.
- The Schultz and Corbitt technique involved a prosthetic mesh plug and patch for hernia defect coverage.
Conclusions:
- Surgical innovation has led to diverse laparoscopic approaches for inguinal hernia repair.
- Techniques have advanced from simple stapling to complex mesh-based reconstructions.
