Lichtenstein Tension Free Repair for Inguinal Hernia скачать в хорошем качестве

Lichtenstein Tension Free Repair for Inguinal Hernia

Lichtenstein Tension-Free Repair for Inguinal Hernia: Procedure: 1. _Incision_: Make a 6-8 cm incision in the groin, just above the pubic tubercle. 2. _Dissection_: Retract the skin and subcutaneous tissue to expose the hernia defect. 3. _Mesh placement_: Place a mesh patch over the hernia defect, without tension. 4. _Secure mesh_: Secure the mesh with sutures or tacks to the surrounding tissue. 5. _Closure_: Close the incision in layers. Key aspects: 1. _Tension-free_: No tension on the mesh or surrounding tissue. 2. _Mesh reinforcement_: Provides additional support to the repair. 3. _Minimally invasive_: Smaller incision and less tissue disruption. Advantages: 1. _Low recurrence rate_: Less than 1% recurrence rate. 2. _Less post-operative pain_: Tension-free repair reduces discomfort. 3. _Quick recovery_: Patients can return to normal activities within a few days. 4. _Well-established technique_: Widely used and accepted method. Disadvantages: 1. _Mesh-related complications_: Potential for mesh infection, migration, or rejection. 2. _Technical difficulty_: Requires specialized training and expertise. Indications: 1. _Primary inguinal hernias_: Suitable for most primary inguinal hernias. 2. _Recurrent hernias_: Can be used for recurrent hernias, especially those with a small defect. Note: The Lichtenstein tension-free repair is a popular method for inguinal hernia repair, known for its low recurrence rate and quick recovery. However, it's essential to consult a qualified surgeon to determine the best approach for individual cases. #herniarepair