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Technical details of laparoscopic IFT were documented. Postoperative intra-abdominal pressure (IAP), ventilatory parameters, complications, and recurrence were assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The median Tanaka index was 0.57 and all patients underwent Lichtenstein repair; in two cases, a simultaneous preperitoneal mesh was added due to extensive inguinal defects. Median operative time was 210\u00a0min, with median IFT duration of 70\u00a0min and a traction force of 18\u00a0kg. Postoperative ACS did not occur. IAP was monitored in 55% of patients, with a median postoperative value of 11.4\u00a0mmHg. The median peak ventilation pressure before and after hernia reallocation was 16 and 19.5\u00a0mmHg respectively with a median differential of 3,5\u00a0mmHg (range 0\u20138). The median Intensive Care Unit (ICU) monitoring was 1\u00a0day, and the median hospital stay was 9.5\u00a0days. Five patients developed Clavien-Dindo grade I and II complications, with no recurrence detected after a median follow-up of 19\u00a0months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The laparoscopic IFT is a safe and useful adjunct in the surgical repair of LoD scrotal hernias. IFT may reduce the need for preoperative pneumoperitoneum and possibly prevent the development of postoperative ACS.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-026-03654-2","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T09:44:40Z","timestamp":1773740680000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Laparoscopic application of intraoperative fascial traction (fasciotens\u24c7Hernia) during loss of domain scrotal hernia repair: A European multicenter case series with technical details and preliminary results"],"prefix":"10.1007","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-9285-3662","authenticated-orcid":false,"given":"Eva","family":"Barbosa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8473-1107","authenticated-orcid":false,"given":"Gisella","family":"Barone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5925-983X","authenticated-orcid":false,"given":"Camillo Leonardo","family":"Bertoglio","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2220-6427","authenticated-orcid":false,"given":"Matthias C.","family":"Schrempf","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Metin","family":"Mazgaldzhi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-3615-5466","authenticated-orcid":false,"given":"Thomas","family":"Mones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nihad","family":"Sardoschau","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fausto","family":"Catena","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3830-634X","authenticated-orcid":false,"given":"Fabio Cesare","family":"Campanile","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,3,17]]},"reference":[{"issue":"2","key":"3654_CR1","doi-asserted-by":"publisher","DOI":"10.3389\/jaws.2023.11195","volume":"2","author":"H Tran","year":"2023","unstructured":"Tran H, MacQueen I, Chen D, Simons M (2023) Systematic review and guidelines for management of scrotal inguinal hernias. 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