Laparoscopic repair of inguinal hernia has several advantages over open repair like less post-operative pain and morbidity, early recovery, rapid return to work and usual activities, low recurrence rate and better quality of life (QOL).Įfficacy of the mesh repair is based on strengthening of weakened native tissue by a strong mesh aponeurotic scar tissue (MAST) complex. Laparoscopic repairs can be done by two main approaches: Trans abdominal pre-peritoneal (TAPP) and totally extra-peritoneal (TEP). The most common open repair performed is the Lichtenstein repair. Tension-free mesh based repairs are the most common method of inguinal hernia repair today, whether done by open method or laparoscopic because meshes have been shown to reduce the recurrence rates by up to 50%. Inguinal hernia repair is one of the most common elective operations performed in general surgery.
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