1 Sep 2000Case Report
INGUINAL HERNIA CALIBRATED REPAIR (PERSONAL MODIFICATION OF TRABUCCO’S TECHNIQUE)
A. Donati 1A. Privitera 1G. Brancato 1M. Donati 1F. Cardì 1
Affiliations
Article Info
1 Azienda Policlinico Unità Operativa Chirurgia Generale I Servizio di Chirurgia delle Ernie Università di Catania
Ann. Ital. Chir., 2000, 71(5), 615-620;
Published: 1 Sep 2000
Copyright © 2000 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
From January 1994 to December 1997, the authors operated on 636 patients with primary inguinal hernia, using an original modification of Trabucco’s tension-free and sutureless technique. The hernial defect is sized according to Gilbert’s classification modified by Rutkow and Robbins and repaired with one or more plugs (up to four in the authors’ experience) in relation to its extent. The posterior wall is reconstructed over the plugs encompassing the transversalis fascia and a wing of the plug superiorly and the iliopubic tract inferiorly. The double-layer polypropylene mesh is fashioned intraoperatively and the key-hole tailored to the variable distance between the spermatic cord and the pubic tubercle. All patients ambulated immediately after the operation, had a light meal two hours later and were discharged within one day of surgery. During a 3 months to 4 year follow-up only one recurrence has been recorded (0.16%). The proposed technique allows to perform a repair to measure (“calibrated”) with minimal pain, immediate rehabilitation and early return to unrestricied activity.
Keywords
- Hernia
- inguinal
- calibrated repair
- multiple plugs