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An Early Experience of a Novel Technique: “No Touch Approach” Preperitoneal Hernioplasty for the Incarcerated Inguinal Hernia

An Early Experience of a Novel Technique: “No Touch Approach” Preperitoneal Hernioplasty for the Incarcerated Inguinal Hernia

Abstract

Incarcerated inguinal hernias are a common surgical emergency condition. The probability of incarceration ranges from 0.29% to 2.9% in the literature. A laparoscopic approach has been rarely used to treat this acute surgical problem. Most reported series on the laparoscopic approach have adopted the transabdominal preperitoneal repair rather than the total extraperitoneal repair. In this paper, we report our early experience on adopting a “no touch approach” to perform preperitoneal hernioplasty by using a combined transperitoneal and preperitoneal route to manage this acute condition.
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