Laparoscopic Versus Open Repair for the Uncomplicated Unilateral Inguinal Hernia
Most authorities agree that laparoscopic inguinal herniorrhaphy is an excellent option for patients with recurrent hernias after a failed conventional operation in the anterior space or for patients whose hernias are bilateral. However, there is lack of agreement as to the best approach for the uncomplicated unilateral hernia as many feel there is not enough benefit in this group to justify the added expense and the slight possibility of serious complications or even a fatal operative accident with laparoscopy. In this chapter, we present the current available literature on the pros and cons of open versus laparoscopic repair of a unilateral, nonrecurrent inguinal hernia.
KeywordsInguinal hernia repair Totally extra peritoneal repair (TEP) Transabdominal preperitoneal repair (TAPP) Open inguinal hernia repair Lichtenstein repair
- 1.DeFrances CJ, Cullen KA, Kozak LJ. National hospital discharge survey: 2005 annual summary with detailed diagnosis and procedure data. Vital Health Stat. 2007;13(165):1–209.Google Scholar
- 2.Lyons AS, Pertrucelli II RJ. Medicine: an illustrated history. New York: Harry N. Abrams Publishers; 1987.Google Scholar
- 25.Eklund A, Montgomery A, Bergkvist L, Rudberg C, Swedish Multicentre Trial of Inguinal Hernia Repair by Laparoscopy (SMIL) study group. Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg. 2010;97(4):600–8. PubMed PMID: 20186889.PubMedCrossRefGoogle Scholar