| How to avoid recurrence in Lichtenstein tension-free hernioplasty. | |
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MedLine Citation:
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PMID: 12354596 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The following key principles of the Lichtenstein tension-free hernioplasty can help avoid recurrence and decrease postoperative pain: (1) Use a large sheet of mesh that will extend approximately 2 cm medial to the pubic tubercle, 3 to 4 cm above Hesselbach's triangle, and 5 to 6 cm lateral to the internal ring. (2) Cross the tails of the mesh behind the spermatic cord to avoid recurrence lateral to the internal ring. (3) Secure the mesh with two interrupted sutures on the upper edge and one continuous suture with no more than 3 to 4 passes on the lower edge of the mesh to prevent folding and movement of the mesh in the groin. (4) Position the mesh in a slightly relaxed dome shape configuration to counteract the forward protrusion of the transversalis fascia when the patient stands up from the intraoperative supine position. (5) Identify and protect the ilioinguinal, iliohypogastric, and genital nerves throughout the operation. |
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Authors:
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Parviz K Amid |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: American journal of surgery Volume: 184 ISSN: 0002-9610 ISO Abbreviation: Am. J. Surg. Publication Date: 2002 Sep |
Date Detail:
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Created Date: 2002-09-30 Completed Date: 2002-10-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0370473 Medline TA: Am J Surg Country: United States |
Other Details:
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Languages: eng Pagination: 259-60 Citation Subset: AIM; IM |
Affiliation:
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Departments of Surgery, Harbor-UCLA and Cedars-Sinai Medical Centers; and Lichtenstein Hernia Institute, 5901 W. Olympic Blvd., Suite 207, Los Angeles, CA 90036, USA. pamid@onemain.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Biomechanics Hernia / surgery* Humans Pain, Postoperative / prevention & control Recurrence Surgical Mesh* Surgical Procedures, Operative / methods* Suture Techniques |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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