Page 49 - World Journal of Laparoscopic Surgery

Laparoscopic versus Open Repair of Inguinal Hernia

with unilateral hernia who desire a minimal period of CONCLUSION AND RECOMMENDATIONS
postoperative disability. 20 Laparoscopic hernia repair is safe and provide less
Open hernia repair requires an incision at the point of
maximum weakness, dividing of muscle and then suturing to postoperative morbidity in experienced hands and definitely
has many advantages over open repair. For bilateral and
repair the defect. This damage must heal before the wound recurrent inguinal hernias laparoscopic approach is
become comfortable. Type of anesthetic used to affect the repair recommended. Nowadays for primary inguinal hernia also it is
does not affect the period of discomfort. In a laparoscopic repair recommended. For sliding hernia also TAPP is the preferred
no incision is made in the groin. The small wounds which are approach.
made heal rapidly and have been shown to cause negligible The final word on hernia will probably never be written.
postoperative pain. Further mesh is placed inside the groin In collecting, assimilating and distilling the wisdom of today
muscle in the preperitoneal layer and this seems a more logical we must provide a base from which further advances may be
position to prevent peritoneal contents bulging out of a muscle made. 21
defect than placing a mesh on the outside of the defect.
Laparoscopic repair has no surgical weakness postoperatively. REFERENCES
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