How effective is the peritoneal approach for tension-free mesh repair of an abdominal inguinal hernia?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

The preperitoneal approach has advocates who claim that this approach makes it easier to identify the sac, reduce the contents, and dissect the cord structures. Mechanical advantages include the use of natural intra-abdominal pressure to keep the mesh in place over all potential hernia sites. The best uses are in the repair of hernias incidentally encountered during other abdominal procedures, recurrent hernias, and femoral hernias.


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