Madhukar Rajaram Wagh, Kamlesh U. Gohil, Rahul Babubhai Parmar

A PROSPECTIVE ANALYSIS COMPARING STOPPA'S REPAIR WITH CONVENTIONAL REPAIR IN COMPLEX BILATERALAND RECURRENT INGUINAL HERNIAS

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The reconstruction of the posterior barrier of the groin represents one of the major objectives in groin hernia repair. There are 2 primary methods used to achieve this objective: “tissue repair technique” and “tension-free repair”. Recently, tension-free repair has become the gold standard procedure for repairing inguinal hernias. Many techniques have been described by different authors. Tension-free repair involves the use of synthetic prosthetic materials for rebuilding the posterior inguinal wall. The prosthetic materials, now disposable, have a well toleratedbiore activity, allow efcient broplasia, diminish postoperative pain, and signicantly reduce the recurrence rate and convalescence period. The Stoppa procedure, or giant prosthetic reinforcement of the visceral sac (GPRVS), is performed by wrapping the lower part of the parietal peritoneum with prosthetic mesh. The mesh contributes to a physiological healing process that creates a special bilateral anatomical reinforcement in the inguinal region, which effectively prevents inguinal hernia recurrence.

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