Type Localization Features Technique R1 Near the internal inguinal ring First recurrence, reducible, thin patient, wall defect <2 cm Gilbert with plug repair R2 Above the pubic tubercle First recurrence,…

Fig. 12.1 Operating room set-up 12.7 12.7 Surgical Technique 12.7.1 12.7.1 Entering and creating the Preperitoneal Space There are few techniques to enter and create the preperitoneal space. A 10-mm…

BISMARCK MODEL Almost universal healthcare system based on mandatory social insurances. There are several funding sources such as social contributions and taxes to cover healthcare services/ treatments. To leave the…

Fig. 7.1 Skin incision for a right inguinal hernia starting halfway along the line between the superior anterior iliac spine and the pubic tubercle over 3 cm to the medial…

Fig. 5.1 The device with its central core and preperitoneal layer Because of its geometrical structure, this device transforms expulsion forces into gripping forces, a key point of this sutureless…

Fig. 17.1 Anatomical illustration depicting the inguinal ligament, adductor longus and rectus abdominis with their respective “forces” on the pubic tubercle Clinical examination therefore relies on testing all the possible…

Symptoms Prevalence Pain as primary symptom 87% Radiating quality to the groin pain 48% — Radiating pain to the vagina 39% — Radiating pain to lower back 20% Worse with…