Complex Inguinal Hernias

  • Mazen IskandarEmail author
  • George Ferzli


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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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryMount Sinai Beth IsraelNew YorkUSA
  2. 2.Department of SurgeryNYU Lutheran Medical CenterBrooklynUSA

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