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Cover; Half Title; Title Page; Copyright Page; Foreword; Preface; Table of Contents; Contributors; 1 Lichtenstein Tension-free Hernioplasty; 1.1 Introduction; 1.1.1 Preoperative Evaluation; 1.1.2 Equipment; 1.1.3 Patient Positioning; 1.1.4 Technique of Anesthesia; 1.1.4.1 Subdermal Infiltration; 1.1.4.2 Intradermal Injection and Creation of Skin Wheal; 1.1.4.3 Deep Subcutaneous Injection; 1.1.4.4 Subaponeurotic Injection; 1.1.5 Sedation; 1.1.6 Operative Preparation; 1.1.7 Incision and Exposure; 1.1.8 Procedure; 1.1.9 Closure; 1.1.10 Postoperative Care; 1.2 Potential Complications.
1.3 Key Principles for Minimizing Recurrence and Postoperative Pain1.3.1 Intra-abdominal Pressure Gradient; 1.3.2 Mesh Shrinkage; 1.3.3 Prosthesis Type; 1.4 Modifications: Sutureless Fixation; 1.5 Discussion; 1.5.1 Lichtenstein versus Other Mesh-based Repairs; 1.5.2 Lichtenstein versus Laparoscopic Repair; 1.5.3 Mesh Fixation; 1.6 Conclusions; References; 2 Tension-free, Sutureless Primary Inguinal Hernia Repair: the Trabucco Technique; 2.1 Introduction and Technical Background; 2.2 Surgical Technique; References; 3 Gilbert Technique of Inguinal Hernia Repair; 3.1 Introduction; 3.2 History.
3.3 Gilbert Technique of Hernia RepairSuggested Readings; 4 Inguinal Hernia Repair Now and in the Future; 4.1 Introduction; 4.2 Past Advances; 4.3 Present Practice; 4.4 Future Advances; References; 5 3D Dynamic Anterior Repair: ProFlor Technique; 5.1 Introduction; 5.2 Device Characteristics; 5.3 Patient Selection; 5.4 Surgical Technique; References; 6 Total Open Preperitoneal (TOP) Technique (modified Wantz); 6.1 Introduction; 6.2 Technique; References; 7 Transinguinal Preperitoneal (TIPP) Repair; 7.1 Introduction; 7.2 Surgical Technique; 7.2.1 Indications and Contraindications.
7.2.2 Preoperative Preparation7.2.3 Anaesthesia; 7.2.4 Incision; 7.2.5 Superficial Dissection; 7.2.6 Approach for Indirect Hernias; 7.2.7 Approach for Direct or Femoral Hernias; 7.2.8 Introduction of the Mesh and Adequate Mesh Placement; 7.2.9 Final Position of the Patch; 7.2.10 Fixation and Closure; 7.2.11 Postoperative Recommendations; 7.3 Discussion; References; 8 Open New Simplified Totally Extraperitoneal (ONSTEP) Technique for Inguinal Hernia Repair; 8.1 Introduction; 8.2 The ONSTEP Technique; 8.2.1 Why a Technique that Involves two Different Planes?; 8.2.2 The Onflex Mesh.
8.2.3 Pain from the Recoil Ring8.2.4 Recurrence Repair after Previous ONSTEP; 8.3 Clinical Data; 8.4 Learning, Training, and Implementation; 8.5 Health Economics; 8.6 Perspectives; 8.7 Conclusions; References; 9 Polysoft Patch for Inguinal Hernia Repair; 9.1. Introduction; 9.2 The TIPP (Transinguinal Preperitoneal Patch) Technique; 9.2.1 Operative Technique; 9.2.2 Tips and Tricks; 9.2.3 Results; 9.2.4 Advantages of the TIPP; 9.3 The TREPP (Transrectus Sheath Extraperitoneal Procedure) Technique; 9.4 The ONSTEP (Open New Simplified Totally Extraperitoneal) Technique; 9.5 Future Developments.
1.3 Key Principles for Minimizing Recurrence and Postoperative Pain1.3.1 Intra-abdominal Pressure Gradient; 1.3.2 Mesh Shrinkage; 1.3.3 Prosthesis Type; 1.4 Modifications: Sutureless Fixation; 1.5 Discussion; 1.5.1 Lichtenstein versus Other Mesh-based Repairs; 1.5.2 Lichtenstein versus Laparoscopic Repair; 1.5.3 Mesh Fixation; 1.6 Conclusions; References; 2 Tension-free, Sutureless Primary Inguinal Hernia Repair: the Trabucco Technique; 2.1 Introduction and Technical Background; 2.2 Surgical Technique; References; 3 Gilbert Technique of Inguinal Hernia Repair; 3.1 Introduction; 3.2 History.
3.3 Gilbert Technique of Hernia RepairSuggested Readings; 4 Inguinal Hernia Repair Now and in the Future; 4.1 Introduction; 4.2 Past Advances; 4.3 Present Practice; 4.4 Future Advances; References; 5 3D Dynamic Anterior Repair: ProFlor Technique; 5.1 Introduction; 5.2 Device Characteristics; 5.3 Patient Selection; 5.4 Surgical Technique; References; 6 Total Open Preperitoneal (TOP) Technique (modified Wantz); 6.1 Introduction; 6.2 Technique; References; 7 Transinguinal Preperitoneal (TIPP) Repair; 7.1 Introduction; 7.2 Surgical Technique; 7.2.1 Indications and Contraindications.
7.2.2 Preoperative Preparation7.2.3 Anaesthesia; 7.2.4 Incision; 7.2.5 Superficial Dissection; 7.2.6 Approach for Indirect Hernias; 7.2.7 Approach for Direct or Femoral Hernias; 7.2.8 Introduction of the Mesh and Adequate Mesh Placement; 7.2.9 Final Position of the Patch; 7.2.10 Fixation and Closure; 7.2.11 Postoperative Recommendations; 7.3 Discussion; References; 8 Open New Simplified Totally Extraperitoneal (ONSTEP) Technique for Inguinal Hernia Repair; 8.1 Introduction; 8.2 The ONSTEP Technique; 8.2.1 Why a Technique that Involves two Different Planes?; 8.2.2 The Onflex Mesh.
8.2.3 Pain from the Recoil Ring8.2.4 Recurrence Repair after Previous ONSTEP; 8.3 Clinical Data; 8.4 Learning, Training, and Implementation; 8.5 Health Economics; 8.6 Perspectives; 8.7 Conclusions; References; 9 Polysoft Patch for Inguinal Hernia Repair; 9.1. Introduction; 9.2 The TIPP (Transinguinal Preperitoneal Patch) Technique; 9.2.1 Operative Technique; 9.2.2 Tips and Tricks; 9.2.3 Results; 9.2.4 Advantages of the TIPP; 9.3 The TREPP (Transrectus Sheath Extraperitoneal Procedure) Technique; 9.4 The ONSTEP (Open New Simplified Totally Extraperitoneal) Technique; 9.5 Future Developments.