Open mesh-based techniques have emerged as the leading approach for inguinal hernia repair, replacing traditional suture-based methods. Among these techniques, the Lichtenstein repair is the most utilised due to its short learning curve and its feasibility under local anaesthesia. Irving Lichtenstein introduced this tension-free repair in 1984, whereby after reduction of the hernia and ligation of the sac, a mesh was inserted and reinforced on the posterior wall of the inguinal canal, and it was fixed to the inguinal ligament and conjoint tendon with nonabsorbable sutures and under no tension. This method is associated with reduced postoperative morbidity and exhibits the lowest recurrence rate. Other open mesh-based techniques include the Plug and Patch repair and the Prolene hernia system, both of which are viable options for open inguinal hernia repair. This review explores the Lichtenstein repair, the Plug and Patch repair, and the Prolene hernia system, with a focus on their indications and potential complications. Furthermore, a comparative analysis of these procedures was conducted concerning their postoperative complications and recurrence rates.
Author(s) Details
Kumar H.R.
Department of Surgery, Taylor’s University School of Medicine and Health
Science, 47500 Subang Jaya, Selangor, Malaysia.
Please see the book here :- https://doi.org/10.9734/bpi/msraa/v12/6402
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