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Hernia Surgery pp 437-449 | Cite as

Groin Hernia Repair: Open Techniques

  • Sean M. O’Neill
  • David C. ChenEmail author
  • Parviz K. Amid
Chapter

Abstract

Open techniques remain the most commonly utilized method of inguinal hernia repair and provide effective and safe treatment of all variations of groin hernias. All practicing hernia surgeons should be familiar with the anatomy and execution of tissue- and mesh-based techniques and should be proficient in at least one method of each. It is equally important to know and recognize the advantages and disadvantages of a specific technique to tailor individual treatment and maximize outcomes. This chapter provides a broad overview of the most common and successful open techniques. Regardless of the approach chosen, the fundamental principles underlying every successful surgical hernia repair that avoids both recurrence and chronic pain are a profound understanding of the neuroanatomy of the inguinal canal and the use of a technique that results in the lowest possible amount of tension on native tissues.

Keywords

Open inguinal herniorrhaphy Tissue repair Bassini McVay Shouldice Desarda Lichtenstein Prolene hernia system (PHS) TIPP TREPP 

Supplementary material

Video 42.1

Open Lichtenshtein Inguinal repair, by Amid (MPG 773,594 kb)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Sean M. O’Neill
    • 1
    • 2
  • David C. Chen
    • 1
    • 2
    Email author
  • Parviz K. Amid
    • 1
    • 2
  1. 1.Department of SurgeryLichtenstein Amid Hernia Clinic at UCLASanta MonicaUSA
  2. 2.David Geffen School of Medicine at UCLALos AngelesUSA

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