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Groin hernia and Trabucco technique in Argentina
Groin hernia and Trabucco's technique: in Argentina!

Inguinal hernia, Trabucco technique, inguinal hernia pain, inguinal hernia pain,La Trabucco technique for inguinal hernia repair has also arrived in Argentina. Last week I was busy demonstrating the simplicity and effectiveness of this technique by operating in several hospitals in Rosario and Buenos Aires. The activity of disseminating the technique of Trabucco has been enthusiastically received by Argentine colleagues, especially by physicians in specialty training who have realized that this method for repairing the inguinal hernia is easy, effective, and reproducible. All the surgeries I have performed have been broadcast live to groups of Surgeons who are specialists in abdominal wall surgery around the world; and one surgery went live streaming on YouTube: you can, if you wish, find it at the end of the article.

What really matters is, once again, the dissemination of knowledge and the mutual exchange of Trabucco technique, inguinal hernia, inguinal hernia causes, cure for inguinal hernia, inguinal hernia pain,ideas and observations. It is clear that the technique of Trabucco is not the only viable option for surgery of the inguinal hernia: Today it is increasingly evident and recognized that, for example, in many situations (as in the bilateral inguinal hernia and in the recurrent inguinal hernia) the technical "gold standard" is laparoscopic surgery - an option that I ALWAYS offer to my patients, and it is a pity that very few Surgeons in Italy do this; but the technique of Trabucco remains an important arrow in the Surgeon's quiver, allowing him to offer the patient a procedure that does not require general anesthesia, is quick, painless, and minimally invasive (the incision we normally use does not exceed 4 to 5 cm).

Inguinal hernia surgery is among the most frequently performed in the world, yet it continues to be burdened with a number of complications-postoperative pain, hematomas, seromas, early and late recurrences-sincerely unjustifiable and unpleasant for both patient and operator. Trabucco's technique makes it possible to offer the patient a standardized procedure geared toward maximum reduction of pain and other postoperative complications and with recurrences of less than 2 percent; it represents a valid alternative to laparoscopic surgery in unilateral inguinal hernia and allows the Surgeon to use high-tech nets that guarantee maximum patient comfort, such as the HerniameshHybridmesh®, a partially absorbable quadriaxial net whose weight is reduced by 75% in about two years, minimizing discomfort due to the "foreign body" sensation. Unfortunately, this net is not available in most Italian Hospitals; however, thanks to an exclusive agreement with the manufacturer, I am able to offer it to my patients.

And here is the video of the inguinal hernia repair surgery with Trabucco technique performed in Buenos Aires and broadcast live on YouTube! In this surgery, I actually use a Hybridmesh, and in the video I illustrate its main features. Enjoy watching!

Dr. Salvatore Cuccomarino
Cuccomarino, MD
Medical Surgeon Specialist in General Surgery
General, Laparoscopic and Digestive Surgery. Coloproctology. Hernia and Abdominal Wall Surgery.
Corso Galileo Ferraris 3
Chivasso,Turin
100034
Phone 0110438161
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Abdominal wall surgery in the cancer patient

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Abdominal wall surgery

Abdominal wall surgery is a superspecialty surgery, in many respects more complex than most other abdominal surgeries (except, perhaps, pancreatic surgery and metabolic surgery), requiring years of study and application, and a very detailed knowledge of human anatomy, to be successfully performed. In our unfortunate country, by many of the many, too many big wigs in our own health care, abdominal wall surgery is considered a minor branch of the medical sciences; but one only has to cross the Alps to see how much it is valued, and even feared, in the international surgical environment. And this is well understood when one looks at the disasters, due to surgical unpreparedness, often combined by those who approach the operating table without due respect for the abdominal wall: which, it should be remembered, is one of the load-bearing walls of the "house" in which we live, our body. How would one live in a house with gutted walls? The quality of life would be abysmal; and abysmal is the quality of life of those who are recklessly operated on by those who do not know the laws-often very complex-that dictate that we follow the abdominal wall.

The history of abdominal wall surgery

abdominal wall surgery, inguinal hernia symptoms, inguinal hernia surgery, scrotal hernia, inguinal hernia symptoms, inguino-scrotal hernia, strangulated hernia, adult umbilical hernia, inguinal hernia surgery, inguinal hernia photos, inguinal hernia surgery, testicular hernia, abdominal laparocele, hernia symptoms, umbilical hernia surgery, inguinal hernia recurrence, crural hernia symptoms, spigastrium hernia, inguinal hernia photos,hernia symptoms, female inguinal hernia, inguinal hernia surgery, umbilical hernia surgery, epigastric hernia symptoms,La history of abdominal wall hernia surgery È the History of Surgery: all the greatest Surgeons, all those whose names are remembered, have applied and contributed to it. I have spoken about it at several national and international conferences and courses, because it is a fascinating tale; just as fascinating is the History of the invention of the prostheses we use today in abdominal wall surgery: to the eye, small sheets of plastic, but with extraordinary technological content inside that rests on more than a century of scientific research.

Course on abdominal wall surgery in the cancer patient

It is therefore a great honor for me, and a great pride, to participate, as the ONLY ITALIAN INVITED SPEAKER among dozens of sacred monsters of Spanish (among the best in the world) and Hispanoamerican Surgery, in the International Course of Abdominal Wall Surgery in the Oncological Patient organized by the Sociedad Hispanoamericana de Hernia and by theUniversity of Valencia next October.

The course is sponsored by the Generalitat Valenciana, the Asociación Española de Cirujanos and theInstituto Cervantes, to name but a few of the major Spanish institutions that have shown interest in our work; as well as by numerous international Scientific Societies.

We will hold our country's flag high, and honor our work!

inguinal hernia
Stitches no, stitches yes-Mr. Rossi and the inguinal hernia

I do not have accurate and up-to-date statistical data, but off the top of my head I would say that the most widely used technique in Italy foringuinal hernia surgery is the Trabucco technique.

Ermanno Trabucco, a Neapolitan surgeon who moved to New York early in his career, was one of the pillars of abdominal wall surgery in the 20th century; and his technique, developed in the 1980s, represents one of the milestones in the history of inguinal hernia repair.

The principle on which it is based is simple and - like all simple things - ingenious: if you have to use a net to repair the hernia, and if you put this net in an enclosed, virtual space, then it is impossible for it to move: therefore, it is useless to put stitches to fix it - which solves at least some of the problems related to the infamous "post hernioplasty inguinodynia," a terrible term for the postoperative inguinal pain that, not so rarely, remains in patients. In fact, this pain is due, at least in part, to the phenomenon of "nerve entrapment": sometimes, some of the often almost invisible sensory nerve sprigs located in the inguinal region are "trapped" by the stitches that are affixed to fix the mesh; this causes the onset of pain, varying in intensity and duration but not infrequently chronic and excruciating.

Trabucco called this space the "inguinal box," described it accurately in his papers and proved the validity of his idea with the results of his daily clinical work.

And, indeed, Trabucco's technique is simple, standardized, easily reproducible and easy to teach. It is, in fact, the classic "ideal" surgical technique, which admits of no argument, no interpretation, no error. It is almost a profession of faith (scientific faith, of course).

A great many Italian surgeons claim to use Trabucco's technique in their surgeries. But-will this really be the case?

In fact, if you talk to them, someone says, "Mah... I put a stitch on the tubercle... you know, just in case..." - "Mah... I leave the cord under the band, it looks more natural to me...." I don't want to go into technical details, boring for most, however... nice, beautiful, typical of much Italian surgery: we do things because "it seems to us," "just in case," not because there is the slightest scientific basis.

AND, MOST IMPORTANTLY, IT'S NOT TREBUCHET'S TECHNIQUE. Call it "Mr. Rossi's technique," folks, and let the Great Surgeons rest in peace.