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   Success story of a rare surgery    Small is the world

 

 Open Methods

  1. Tissue to tissue with sutures - Bassini, McVay, Halsted, Canadian Shouldice.
  2. Flat mesh in front of muscles - Lichtenstein
  3. Flat mesh behind muscles - Nyhus, Stoppa, (properitoneal)
  4. Mesh as plug - Bard, Rutkow
  5. Mesh as double disc - Ethicon's PHS *
  6. Flat mesh converting to plug - Atrium

 Semi Open Methods           

  1. Kugel patch *
  2. Ugahary (Dutch) *

   Note : * marks those open methods trying to copy advantages of laparoscopic repair without laparoscopy.

 Other Laparoscopic Methods

  1. Trans-abdominal (TAPP) - now out of favor as the initial method of choice but is reserved for some special circumstances.


THE TECHNIQUE
Procedures
Advantages
What to Expect
Other Methods
Why Not Others