Chapter 35: Hernias- Inguinal Hernia Repairs Flashcards
Bassini
Sutures approximate reflection of inguinal ligament (Poupart’s) to the transversus abdominis aponeurosis/conjoint tendon
McVay
Cooper’s ligament sutured to transversus abdominis aponeurosis/conjointtendon
Lichtenstein
“Tension-free repair” using mesh
Plug and patch
Placing a plug of mesh in hernia defect and then overlaying a patch of mesh over inguinal floor (requires few if any sutures in mesh!)
High ligation
Ligation and transection of indirect hernia sac without repair of inguinal floor(used only in children)
TAPP procedure
TransAbdominal PrePeritoneal inguinal hernia repair
TEPA procedure
Totally ExtraPeritoneal Approach
What are the indications for laparoscopic inguinal hernia repair?
- Bilateral inguinal hernias
- Recurring hernia
- Need to resume full activity as soon as possible