Summary
Anterior inguinal hernia repair is the second-most-commonly performed abdominal operation and has been associated with low morbidity and mortality rates. The principle of laparoscopy has been applied to this surgical problem in a series of 762 patients with 841 inguinal hernias. Four types of laparoscopic repairs were conducted: (1) high ligation of the indirect inguinal hernia sac and closure of the internal ring (87 patients with 89 hernias); (2) plug and patch of the internal ring (74 patients with 87 hernias); (3) transperitoneal suture repair of the transversalis fascia to the iliopubic tract or Cooper's ligament (28 patients with 30 hernias); and (4) placement of a large prosthesis over the myopectoneal orifice (563 patients with 635 hernias). These early results indicate that the overall complication rates were low, especially when a large prosthesis was used to reinforce the myopectoneal orifice. It is concluded that laparoscopic inguinal herniorrhaphy is a safe and effective procedure with which to manage this surgical problem.
Similar content being viewed by others
References
American College of Surgeons (1989) Sections B–L In: Polister P, Cunico E (eds) Socio-economic factbook for surgery. American College of Surgeons, Chicago, pp 25–42
Barnes JP (1987) Inguinal hernia repair with routine use of Marlex mesh. Surg Gynecol Obstet 165: 33–37
Corbitt JD (1991) Laparoscopic herniorrhaphy. Surg Laparosc Endosc 1: 23–25
Fitzgibbons RJ Jr, Salerno GM, Filipi CJ, Hart RO (in press) Early experience of laparoscopic repair of inguinal hernias.
Gazareli MM (1992) Anatomical laparoscopic hernia repair of direct or indirect inguinal hernias using the transversalis fascia and iliopubic tract. Surg Laparosc Endosc 2: 49–52
Ger R (1982) The management of certain abdominal hernias by intraabdominal closure of the sac. Ann R Coll Engl 64: 342–344
Ger R, Monroe R, Duvivier R et al (1990) Management of indirect inguinal hernias by a laparoscopic closure of the neck of the sac. Am J Surg 159: 370
Lichtenstein IL, Shulman AG, Amid PK, et al (1989) The tension-free hernioplasty. Am J Surg 157: 188–192
Nyhus LM, Pollack R, Bombeck CT, Donahue PE (1988) The preperitoneal approach and prosthetic buttress repair for recurrent hernia. Ann Surg 179: 567
Popp LW (1991) Improvement in endoscopic hernioplasty: Transcutaneous aquadissection of the musculofascial defect and preperitoneal endoscopic patch repair. J Laparoendosc Surg 1: 83–90
Rignault DP (1986) Properitoneal prosthetic inguinal hernioplasty through a Pfannenstiel approach. Surg Gynecol Obstet 163: 465
Salerno GM, Fitzgibbons RJ Jr, Hart RO, Corbitt RD Jr, Filipi CJ (1992) Laparoscopic herniorrhaphy. In: Zucker KA (ed) Surgical Laparoscopy Update. Quality Medical Publishing, St. Louis, pp 373–394
Shultz L, Graber J, Pietrafitta J, Hickok D (1990) Laser laparoscopic herniorrhaphy: A clinical trial preliminary results. J Laparoendo Surg 1: 41
Stoppa RE, Rives JL, Warlaumont CR, et al (1984) The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 64: 269–285
Toy FK, Smoot RT Jr (1991) Toy-Smoot laparoscopic hernioplasty. Surg Laparo Endo 1(3): 151–155
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
MacFadyen, B.V., Arregui, M.E., Corbitt, J.D. et al. Complications of laparoscopic herniorrhaphy. Surg Endosc 7, 155–158 (1993). https://doi.org/10.1007/BF00594097
Issue Date:
DOI: https://doi.org/10.1007/BF00594097