L'ernioalloplastica con protesi preperitoneale per via inguinale anteriore in anestesia locale. Tecnica personale

Background. The most common surgical techniques for the repair of groin hernias need the positioning of a mesh over the fascia trasversalis or in the preperitoneal space. The advantages of Lichtenstein, Gilbert or Trabucco's anterior access techniques are essentially due to the simple execution, even in local anesthesia, and to the shorter and less painful postoperative course. Preperitonal techniques of Stoppa, Wantz and Rives are certainly more complex, but allow a complete reconstruction of the fascia trasversalis, since the mesh is positioned in the preperitoneal space. Methods. Trying to match the simplicity of the anterior repair techniques and the safety offered by a wide preperitoneal mesh, the authors described a new technique that allow preperitoneal hernioalloplasty by a classical anterior access. Results and conclusions. This method is different from the Rives' technique, since the shape, the size and the material of the mesh is different and it is performed under local anesthesia. These patterns allow a simple execution of the technique and a fast postoperative recovery with a better comfort, adding the advantages of the classic anterior repairs to those of the preperitoneal hernioalloplasties.