Tecnica stoppa hernia inguinal pdf

The guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. We present a study with our experience and learning curve for this technique. Emergency surgery was performed for incarcerated hernia in six cases 2. Abstract within the repairs of the inguinal hernia by open surgery, the plug. Modified rivesstoppa repair for abdominal incisional hernias. The establishment of an ehs school for teaching inguinal hernia repair surgical techniques, including tips and tricks from experts to overcome the learning curve especially in endoscopic repair. Jan 24, 2006 the stoppa procedure is a very safe repair of bilateral inguinal hernia, but it requires a learning period to achieve optimal results. The list of techniques for inguinal hernia repair is numerous. The list of interventions for the correction of the inguinal hernia is plenty numerous. The stoppa repair is a tensionfree type of hernia repair. In this article, the authors describe the anatomy of the inguinal region from the surgeons point of view, the causes and predisposing factors for inguinal hernia development, the diagnostic approach and evolution of the surgical technique, bringing to question some controversial aspects concerning the treatment of this pathology. A retrospective analysis was made using the results in the ambulatory surgery of primary inguinal hernias and recurrences, performing the. Laccesso avviene tramite una incisione mediana sottoombelicale oppure con una incisione trasversa sovrapubica. Most of the latter were caused by gynecological surgeries.

This operation is also known as giant prosthetic reinforcement of the visceral sac gprvs. The stoppa procedure is a very safe repair of bilateral inguinal hernia, but it requires a learning period to achieve optimal results. Stoppa bilateral recurrent inguinal hernias henares hospital herniatoday. Tecnica di stoppa con rete preperitoneale herniasurgery. Two hundred and ten patients with bilateral inguinal hernia 420 hernias were repaired with stoppa procedure from january 1995 to december 2003 with an average age of 57. Stoppa procedure in bilateral inguinal hernia springerlink.

The rivesstoppa technique for midline incisional hernias places a piece of mesh intheretrorectal or preperitoneal space kept place with transparietal transcutaneous perimetral sutures. Hernia inguinal recidivante a traves del anillo inguinal. Emergency surgery was performed for incarcerated hernia in. The stoppa procedure is a tensionfree type of hernia repair. One hundred seventy patients 340 hernias, who underwent surgery using stoppas technique for bilateral inguinal hernia between january 1995 and december 2001 were included. In this prospective randomized study patients characteristics, intra and postoperative parameters including pain, return to daily activity and work, were assessed in patients undergoing bilateral hernia repair by means of either the stoppa or the lichtenstein techniques.

In 52 patients it was the first hernioplasty, 25 had a previous plasty, 10 with two, 8 with 3, 3 with 4, 1 with 5, and 1 with 7. Guiaclinicadecirugiaendoscopica 2 introduccion e nladecadadelos90,laprogresivaevoluciondelacirugiahaciatecnicas. Eight patients had primary hernia and 92 incisional hernias. Outpatient clinic notes, discharge summaries, operative reports, and. Hernia inguinal recidivante a traves del anillo inguinal profundo. Comparison of stoppa and lichtenstein techniques in the. Stoppas technique includes the placement of a large mesh in order to reinforce the visceral sac. It is performed by wrapping the lower part of the parietal peritoneum with prosthetic mesh and placing it at a preperitoneal level over fruchauds myopectineal orifice. Abstract currently, there are multiple classifications for the different types of hernias, being the european hernia society ehs classifications, the only one that allows a simple organization, depending on their size. The european hernia society ehs is proud to present the ehs guidelines for the treatment of inguinal hernia in adult patients. The feasibility of tensionfree repairs in bilateral inguinal hernias has not been well documented. Mar 23, 2011 stoppa bilateral recurrent inguinal hernias henares hospital herniatoday. Lichtenstein hernia repair is gold standard in inguinal hernia surgeries, allowing a tensionfree polypropylene mesh, low recurrence, wide applicability, easy teaching to young surgeons, early discharge and lower costs.