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Ned Tijdschr Geneeskd · Jan 2013
Comparative Study[The transrectus sheath preperitoneal procedure: a safe, effective and cheap surgical approach to inguinal hernia?].
- M W Wiesje Prins, D A Dasha Voropai, C J H M Kees van Laarhoven, and Willem L Akkersdijk.
- UMC St Radboud, afd. Heelkunde, Nijmegen, the Netherlands. wiesjeprins@hotmail.com
- Ned Tijdschr Geneeskd. 2013 Jan 1;157(30):A6048.
AbstractThe main complication of surgery for inguinal hernia is chronic postoperative pain. This is often reported following the Lichtenstein procedure. A new, open surgical technique for the repair of inguinal hernia has been developed. This procedure is called the transrectus sheath preperitoneal procedure (TREPP). At TREPP a lightweight mesh with a ring made of memory metal is introduced into the preperitoneal space through the transrectus sheath. The first results of this operative technique are very promising: short operation time, short learning curve and not many patients with chronic postoperative pain. In a randomised, multi-centre study which will start mid-2013 (ISRCTN18591339), the TREPP procedure is compared with the transinguinal preperitoneal procedure. The primary outcome measure of this study is chronic postoperative pain.
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