Complex Inguinal Hernias
Complex hernias can be defined as those with multiple recurrences, infected mesh, strangulation, previous surgeries, and large size. The approach to these hernias involves a great deal of preoperative preparation and decision-making that is carried through the operation and post-op period. The laparoscopic approach in these cases is feasible and with good outcomes provided that the surgeon adheres to the three M’s: mastery of the anatomy, meticulous dissection, and modus operandi. A practical approach to the laparoscopic complex hernia repairs is presented along with the available evidence to support it.
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