What Is Laparoscopic Hernia Repair?

A number of factors have led to the recent development of a new method of repair called laparoscopic hernia repair. This technique is really an extension of a traditional mesh repair method (preperitoneal repair) that was usually used in patients who had already experienced several hernia recurrences at the same site. Previously, this mesh repair approach had required a separate incision somewhat removed from the target area. However, with the progressive development of the instruments and techniques for laparoscopic surgery, the same procedure can now be done with several relatively small incisions. This allows the surgeon to enter the space behind the hernia defect and place the mesh with minimal injury to the surface of the abdomen. The apparent advantages of this method include coverage of all the potential sites of groin hernia, which reduces the risks of recurrence while also decreasing the amount of post-surgical pain.

The potential disadvantages of the technique are: (1) a general anesthetic is required; (2) the risk of injury to blood vessels in the abdomen is increased; and (3) the long-term effects of placement of the mesh in this location remain unknown.