MANAGEMENT OF INGUINAL HERNIA - A COMPARISON OF LAPAROSCOPIC MESH REPAIR WITH OPEN METHOD

Abstract

Inguinal hernia was repaired laparoscopically soon after the establishment of laparoscopic cholecystectomy. Inguinal hernia repair using mesh is one of the most frequently performed operations in general surgery. The mesh can be placed using an open technique or by laparoscopic approach. A large number of studies have tinted the qualities and risks of laparoscopic approach for the repair of inguinal hernia, the last verdict still leftover to be written because preponderance of trials are too petite to show clear benefits of one technique over the other. Unlike laparoscopic cholecystectomy, which was very rapidly established by the surgical community, laparoscopic hernia repair has remained a controversial subject since its beginning. The early laparoscopic tech-niques of plugging the internal ring with mesh or simply closing the ring with staples were surgically unsafe and swiftly discarded when early trends showed a high recurrence rate. The intention of this review was to compare laparoscopic mesh techniques with open technique for inguinal hernia repair.

Keywords

• inguinal hernia
• laparoscopy
• herniorrhaphy.