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Updated: May 11, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Laparoscopic totally extraperitoneal hernioplasty with nonfixation of three-dimensional mesh: Dulucq's technique
Alberto Meyer1, Jean-Louis Dulucq, Ahmad Mahajna
1Department of Surgery, Professor Edmundo Vasconcelos Hospital, São Paulo, Brazil. almmeyer@usp.br
Introduction:
The inguinal hernia repair has been a controversial area in the surgical practice ever since it has been conceived. The fact that numerous different procedures are in use reflects the complexity of inguinal hernia and its repair.
Aim:
The purposes of this study were to describe Dulucq's technique and the modifications of using 3-D mesh in laparoscopic totally extraperitoneal inguinal hernia repair.
Methods:
Surgical technique of laparoscopic totally extraperitoneal hernia repair is detailed on the text.
Conclusion:
Laparoscopic totally extraperitoneal is preferred over transabdominal preperitoneal hernia as the peritoneum is not violated. The dissection must always be done with the same stages, without monopolar diathermy and the patient in a slight Trendelenburg position. Following these recommendations, the laparoscopic totally extraperitoneal hernioplasty is feasible with fewer intra-abdominal complications.
