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Chirurgia 2005 June;18(3):141-6

language: Italian

Groin prosthetic hernioplasty: technical contribution

Fimmanò A., Coppola Bottazzi E., Cirillo C., Tammaro P.


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Since its first publication, the Trabucco's groin hernia repair encountered many agreements by American and European surgeons. In fact, in a really short period, this tecnique became the most renowned and adopted surgical procedure. The aim of this paper is to present some technical suggestions, that according to our experience, may be useful in avoiding some characteristic problems of prosthetic hernia repairs: i.e. migration of the plug and dislodgement of prosthetic sheet. According to historical identifications stating that the tightness and the strength of the muscular reconstructions could be responsible of the majority of hernial recurrences, our technique allows to ensure a tension-free and sutureless procedure. This study is carried out on the cases observed and treated in the last 5 years in our Department. During this period, 57 patients were submitted to a groin hernia repair, performed according to the Trabucco's prosthetic technique, but always fastening the plug to the prosthetic sheet. This really simple procedure allows to avoid any, sometimes unbelievable, migrations of the plug, joined to frequently referred foldings and dislocations of the prosthetic sheet itself. In our series, we did not observe late complications or relapses. So, we consider our suggestion useful to avoid the residual few complications of a prosthetic hernia repair.

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