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Abstract
Background. The effectiveness of laparoscopic herniorrhaphy, the patient outcome, and technical
aspects have been controversial. We have performed 450 consecutive laparoscopic inguinal
herniorrhaphies and have reviewed the rationale, technical aspects, and the outcomes.
Methods. Four hundred and fifty consecutive laparoscopic herniorrhaphies were performed using
synthetic mesh for tensionless repair and adhering to surgical principles of preperitoneal
herniorrhaphy. Patients were 16 to 83 years of age, 74% men, 26% women. Mesh was transfixed
to anatomic landmarks with suture or staples. The peritoneum was closed, separating
mesh from abdominal contents.
Results. Ninety percent of patients were discharged from perioperative care; 10% were in the
hospital 23 hours as a result of urinary retention, cardiac disease, etc. No adhesive
or mesh complications occurred. Three hernias recurred at 2 to 4 months after operation.
Two were repaired laparoscopically.
Conclusions. Laparoscopic inguinal herniorrhaphy is a safe and effective procedure. It compares
favorably with other classic methods of hernia repair (especially use of a tensionless
repair with mesh). Patients exhibit minimum morbidity and ambulate soon with minimal
discomfort. This repair should be considered preferential in many subsets of patients.
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Article info
Footnotes
☆Supported in part by Clinical Research Support Grant no. 9478, The Lutheran General Medical Group, 1992–1993.
☆☆Presented at the Fiftieth Annual Meeting of the Central Surgical Association, Cincinnati, Ohio, March 4–6, 1993.
Identification
Copyright
© 1993 Published by Elsevier Inc.
