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Dulucq's technique for laparoscopic totally extraperitoneal hernioplasty.
Mohit Agrawal1, Sonali Bhagwat2, Prashanth Rao2
1Department of Surgery, Sanjeevani Hospital, Global Hospitals, Mumbai, Maharashtra, India.
Journal of Minimal Access Surgery
|November 13, 2018
Summary
Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair using Dulucq's technique is effective and safe. This method, utilizing 3D mesh without fixation, resulted in no serious complications in 945 repairs.
Area of Science:
- Minimally invasive surgery
- Surgical techniques
- Hernia repair
Background:
- Inguinal hernia repair remains complex with various surgical approaches.
- Laparoscopic totally extraperitoneal (TEP) repair is favored over transabdominal pre-peritoneal repair due to reduced intra-abdominal complications.
- While elegant, TEP repair presents technical challenges.
Purpose of the Study:
- To detail Dulucq's technique for laparoscopic TEP inguinal hernia repair.
- To evaluate the use of a 3D mesh without fixation in this procedure.
Main Methods:
- The study describes the surgical technique for laparoscopic TEP inguinal hernia repair.
- Dulucq's technique was applied in all procedures.
Main Results:
- 945 inguinal hernia repairs were performed using Dulucq's technique.
- Mean operative times were 45 minutes for unilateral and 65 minutes for bilateral hernias.
- No serious complications were reported.
Conclusions:
- Laparoscopic TEP hernioplasty using Dulucq's technique is feasible and associated with fewer intra-abdominal complications.
- Consistent surgical stages, minimal monopolar diathermy, and a slight Trendelenburg position are recommended.
- The technique is safe and effective for inguinal hernia repair.