Laparoscopic Inguinal Hernia Repair: A New Approach

Abstract

On the basis of our initial experience, laparoscopic TPIPOM hernioplasty is feasible, effective, and easy to perform by experienced surgeons, with good results.

Recent Trends in Management of Inguinal Hernia

“…The superficial inguinal ring: it is a triangular opening in the aponeurosis of the external oblique muscle (Chen et al, 2010).…”

“…most clinically significant hernias can be diagnosed on clinical examination and managed without the use of diagnostic imaging. However, there are recognized limitations to clinical assessment, and a significant proportion of patients with symptoms suggestive of a hernia are found to have normal or equivocal clinical examination findings (Chen et al, 2010). I. Herniography: Herniography has been evaluated in patients with equivocal clinical features and has been shown to be a very sensitive, but potentially nonspecific, technique, for depiction of asymptomatic hernias.…”

“…The endoscopic posterior approach also allows an excellent exposure of the anatomical defect, which is of particular use in the repair of recurrent hernias (Chen et al, 2010).…”