%0 Journal Article %T Corre o de h¨¦rnia laparosc¨®pica: tela sem fixa o ¨¦ vi¨¢vel? Laparoscopic hernia repair: nonfixation mesh is feasibly? %A Alberto Meyer %A Jean-louis Dulucq %A Ahmad Mahajna %J ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S£¿o Paulo) %D 2013 %I Col¨¦gio Brasileiro de Cirurgia Digestiva %X RACIONAL: V¨¢rias t¨¦cnicas cir¨²rgicas t¨ºm sido desenvolvidas ao longo dos ¨²ltimos anos, e a corre o de h¨¦rnia inguinal pr¨¦-peritoneal totalmente extraperitoneal e transabdominal s o as t¨¦cnicas endosc¨®picas que s o mais comumente utilizadas. OBJETIVOS: Descrever e discutir a t¨¦cnica de Dulucq e as modifica es do uso da tela 3-D na corre o de h¨¦rnia inguinal totalmente extraperitoneal. M¨¦TODOS: Foram inclu¨ªdos prospectivamente neste estudo pacientes submetidos ¨¤ corre o de h¨¦rnia inguinal eletiva. Foram estudados os aspectos operat¨®rios e p¨®s-operat¨®rios. RESULTADOS: Um total de 261 corre es herni¨¢rias foram inclu¨ªdas neste estudo. Elas foram realizadas pela t¨¦cnica totalmente extraperitoneal; duas (0,75%) foram convertidos para t¨¦cnica anterior de Liechtenstein. O tempo operat¨®rio m¨¦dio foi de 43,38 min em h¨¦rnia unilateral e 53,36 min em h¨¦rnia bilateral. A maioria dos pacientes (95%) teve alta no mesmo dia da opera o. A taxa de morbidade p¨®s-operat¨®ria foi de 5,7%. A incid¨ºncia de recidiva foi de 0,0% em m¨¦dia de 26 meses. CONCLUS O: Hernioplastia totalmente extraperitoneal ¨¦ procedimento eficaz e seguro nas m os de cirurgi es experientes e com forma o espec¨ªfica. ¨¦ uma op o interessante para h¨¦rnia bilateral e recidivante, uma vez que obt¨¦m resultados satisfat¨®rios em termos de dor p¨®s-operat¨®ria e morbidade. BACKGROUND: Several surgical techniques have been developed over the past years, and total extraperitoneal and transabdominal preperitoneal inguinal hernia repair are the endoscopic techniques that are most commonly used. AIM: To describe and discuss Dulucq's technique and the modifications of using 3-D mesh in total extraperitoneal inguinal hernia repair. METHODS: Patients who underwent an elective inguinal hernia repair were enrolled prospectively in this study. Operative and postoperative course were studied. RESULTS: A total of 261 hernia repairs were included in the study. The hernias were repaired by total extraperitoneal technique; two hernias (0.75%) were converted to open anterior Liechtenstein technique. Mean operative time was 43.38 min in unilateral hernia and 53.36 min in bilateral hernia. Most of the patients (95%) were discharged at the same day of the surgery. The overall postoperative morbidity rate was 5.7%. The incidence of recurrence rate was 0.0% in median follow-up period of 26 months. CONCLUSION: Total extraperitoneal hernioplasty is a very effective and safe procedure in the hands of experienced surgeons with specific training. It is an interesting option in bilateral and recurrent hernia as it obtains satisfactory %K Laparoscopia %K H¨¦rnia Inguinal %K Tela cir¨²rgica %K Laparoscopic surgery %K Inguinal hernia %K Surgical mesh %U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202013000100006