Preperitoneal Trabucco hernioplasty. Technique in recurrences surgical treatment

One hundred years have passed since Bassini performed his first hernioplasty, but only for the past twenty years, have the surgical choices to repair these defects in the inguinal abdominal wall changed. A review of clinical trials reported in the literature as far as concerning the complications, confirms that up to today recurrence rate is from 2% to 10%, after anterior groin hernia repair by classical procedure (Bassini, Shouldice, McVay); this proves the topicality and importance of the problem. It is universally agreed that the greatest factors which give failures in these procedures are tension approximation of tissues and use of the trasversalis fascia layer, which is often subject to a regressive metabolic disorder, in patients with groin hernia. With the introduction in surgical procedure of the preperitoneal approach and new patches, it is now possible to repair all types of recurring hernias without subverting the normal anatomic structures of the inguinal region, which is partly subverted by previous operation, and without new tension on line suture.