Transinguinal preperitoneal groin @entity547 repair using a preperitoneal mesh preformed with a permanent XXXX : a good alternative to Lichtenstein's technique.

@entity1 @entity158 @entity547 @entity2414 @entity1118
PURPOSE: The transinguinal preperitoneal (TIPP) technique uses a preperitoneal mesh preformed with a permanent @entity2414 , which greatly facilitates application of Rives' technique. The purpose of this retrospective study was to evaluate our primary results by systematic clinical and ultrasound evaluations more than 1  year after surgery. METHODS: This unicentric study included all consecutive adult @entity1 treated with surgery for a groin @entity547 by the same surgeon using the same technique between December 2006 and December 2008. Any @entity1 who participated in this study had both a systematic clinical and ultrasound control between 6  months and 3  years after surgery. RESULTS: In this study, we performed 145 @entity547 repairs. There was no infection of the mesh and no clinical recurrence; additionally there was an ultrasound recurrence (n  =  3) in 2% of asymptomatic @entity1 and @entity1118 in 4.8% of @entity1 who did not require the consumption of systematic painkillers and are not limited in their activities. CONCLUSIONS: It is feasible to correct a groin @entity547 using a preperitoneal preformed mesh with a permanent @entity2414 . Our study confirms the positive results of P  lissier and colleagues (P  lissier and Ngo, Ann Chir 131:590-594, 2006; P  lissier et al. J Chir 144(4):5S35-5S40, 2007; P  lissier et al. Hernia 11:229-234, 2007; P  lissier et al. Hernia 12:51-56, 2007) and Berrevoet et al. (Hernia 13:243-249, 2009; Langenbeck's Arch Surg 395:557-562, 2010) and is the first study to use a systematic clinical and ultrasound control more than 1  year after surgery. This technique has a low rate of complications, including ultrasound recurrence in 2% of @entity1 without any clinical recurrence and @entity1118 in 4.8% of @entity1 who did not require the consumption of systematic painkillers and are not limited in their activities. This technique consisted of the placement of a patch in the preperitoneal space, which combines the benefits of the anterior approach (i.e., easy technique, short learning curve, low cost) and the preperitoneal placement of the mesh (less recurrence, @entity158 ). This procedure is a good alternative to Lichtenstein's technique.
