Surgical Clinics of North AmericaTextbook chapter revisiting*
The Lichtenstein Repair after nearly two decades
of experience, its further evolution, history
and place in modern hernia repair surgery.
Authored by surgeons of
The British Hernia Centre,
based upon experience of several thousands of cases.


Published by The Surgical Clinics of North America, October 2003
ISSN 0039-6109
 




The Lichtenstein Repair for Groin Hernias

Summary

Lichtenstein described a tension-free onlay of mesh less than two decades ago.
Some surgeons misunderstood his concept.
The technique is described as suited to all types of groin hernia
- large or small, complex or straightforward -
and essential components including
local anaesthesia, immediate ambulation and same day discharge,
each contributing to the overall success.

* Portions of this article appeared previously in the
December 1998 issue of
Surgical Clinics of North America 78:6, 1998




Contents
  • Background
  • Prosthetic Mesh Before Lichtenstein's Report
  • The Evolution of Lichtenstein's Technique
  • Tension-Free Hernioplasty
  • Reaction to Lichtenstein's 1989 Publication
  • The Tension-Free Repair in the Hands of Other Surgeons
  • The British Hernia Centre Experience
  • The British Hernia Centre Results
  • Reports of Tension-Free Mesh Repair
  • Comparison of Open Tension-Free Mesh with Conventional Repair
  • Comparative Trials of Open Mesh and Laparoscopic Repair
  • Variations in Technique
  • Assessing the Success of the Operation
  • Future of the Lichtenstein repair
    		•

    (The Surgical Clinics of North America, Groin Hernia Surgery,
    Volume 83; Number 5; October 2003; 1098-1117)
    © 2003 by W.B Saunders Company









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