TRABUCCOS PROCEDURE AND LOCAL-ANESTHESIA IN SURGICAL-TREATMENT OF INGUINAL AND FEMORAL HERNIA

Traditional surgical techniques base themselves on some conceptual mis takes, the first of which is that the new wall is built with lots of s titches and this is the reason for pain and long time spent in bed. Th e second one is that the new wall is built with the patient's muscles and aponeurotic tissues, this procedure leading to biological weakness . It is not possible to demonstrate the connection between traditional techniques and hernia recurrence, but we think that there are enough reasons to choose prosthesic technique. In all our cases of inguinal a nd femoral hernia the procedure applied was the Trabucco tension-free hernioplasty repair. This technique is simple, effective, rapid, the p ostoperative pain is reduced and all patients return to full activitie s rapidly. Now, with the modern prosthetic materials and new surgical techniques it's possible to repair all types of hernias and re-create normal anatomic function of the abdominal wall without new tension bet ween muscles and aponeurothic structures. Authors show the actual tren d of tension-free inguinal and femoral hernia repair, by taking into c onsideration risks, type of anaesthesia and surgical technique.