When are approaches other than Lichtenstein tension-free mesh repair indicated?

Updated: Jan 17, 2018
  • Author: Vinay Kumar Kapoor, MBBS, MS, FRCS, FAMS; Chief Editor: Kurt E Roberts, MD  more...
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Answer

Open inguinal hernia repairs other than Lichtenstein hernioplasty are not merely of historical interest. Surgeons must know and understand these repairs so that they can be carried out when they are appropriate. Specifically, cases that involve a contaminated field (eg, necrotic or perforated bowel secondary to hernial strangulation) are not amenable to prosthetic repair. In such cases, either a primary tissue repair or a biologic implant repair is necessary. [56, 31, 32]


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