Kugel hernia repair: Open "mini-invasive" technique. Personal experience on 620 patients

Valerio Ceriani, E. Faleschini, P. Bignami, T. Lodi, O. Roncaglia, C. Osio, D. Sarli

Research output: Contribution to journalArticle


A large monoinstitutional series adopting the Kugel retroparietal technique for inguinal hernia surgery is analysed. Our aim is to assess the "mini-invasiveness" of this technique. Six hundred and twenty patients (pts) affected by monolateral inguinal hernia were treated with a preperitoneal alloplasty with a posterior approach (Kugel hernia repair, KHR) between January 2002 and September 2004. The surgical incision extension was 3.5 cm on average (range 2-4.5). The mean operation time was 33 min (range 20-45). Spinal anaesthesia and ambulatory procedure were applied in 595 cases (96%). Postoperative complications affected 20 pts (3%). The postoperative pain was well controlled. No chronic neuropathic pain was registered at follow-up. Patients resumed work after an average of 9 days (range 7-12) from operation. Recurrence rate was 0.8%. Conclusions. The Kugel hernia repair satisfies the standards to be awarded as a "mini-invasive" technique.

Original languageEnglish
Pages (from-to)344-347
Number of pages4
Issue number4
Publication statusPublished - Dec 2005


  • Inguinal hernia
  • Kugel technique
  • Preperitonel approach
  • Prosthetic repair

ASJC Scopus subject areas

  • Surgery

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    Ceriani, V., Faleschini, E., Bignami, P., Lodi, T., Roncaglia, O., Osio, C., & Sarli, D. (2005). Kugel hernia repair: Open "mini-invasive" technique. Personal experience on 620 patients. Hernia, 9(4), 344-347. https://doi.org/10.1007/s10029-005-0015-9