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[Transinguinal preperitoneal mesh-plasty in inguinal hernia using local anesthesia]
1Chirurgische Universitätsklinik und Poliklinik, RWTH Aachen.
Summary
Transinguinal preperitoneal (TIPP) mesh prosthesis implantation is effective for complex inguinal and femoral hernias. This open approach demonstrated no recurrence in a 3-24 month follow-up, making it suitable for recurrence-prone cases.
Area of Science:
- General Surgery
- Surgical Innovation
Background:
- Inguinal and femoral hernias require effective repair techniques, especially for recurrent cases.
- The transinguinal preperitoneal (TIPP) approach using mesh prostheses offers a potential solution for complex hernia repairs.
Purpose of the Study:
- To evaluate the efficacy and safety of the TIPP technique for repairing inguinal and femoral hernias.
- To assess the recurrence rates and postoperative outcomes of TIPP compared to traditional methods.
Main Methods:
- A retrospective analysis of 689 adult hernia repairs between January 1994 and December 1995.
- Mesh (Marlex) prosthesis implantation in the preperitoneal space via open inguinal approach (TIPP) in 58 patients with primary or recurrent hernias.
- Intraoperative hernia classification guided TIPP indications for specific hernia types and fascial integrity.
Main Results:
- No intraoperative complications were reported.
- Postoperative course was comparable to Shouldice procedures, with an increased incidence of seromas.
- No recurrences were observed during a 3-24 month follow-up period.
Conclusions:
- TIPP is an appropriate technique for recurrence-prone inguinal and femoral hernias when combined with intraoperative classification.
- The TIPP approach demonstrates promising results in preventing hernia recurrence.