Inguinal Hernia Repair Lab Report

OUR EXPERIENCE IN LAPAROSCOPIC (TAPP) INGUINAL HERNIA REPAIR

Introduction Inguinal hernia repair is the most frequently performed operation in general surgery. The standard method for inguinal hernia repair had changed little over a hundred years until the introduction of synthetic mesh. This mesh can be placed by either using an open approach or by using a minimal access laparoscopic technique[1]. Laparoscopic inguinal hernia repair was first performed using a transabdominal approach. Advantages of the TAPP approach include having a shorter learning curve. Unlike a TEP hernia repair, the TAPP approach requires a familiar laparoscopic access technique. The transabdominal approach also allows for a better initial view of the inguinal anatomy. Potential disadvantages of the TAPP approach include the theoretical increased rate of injury to intra-abdominal organs .The posterior approach requires learning the groin anatomy from a different perspective from the traditional approach.
Procedure[2]
The aim of surgery is to reduce the hernia and hernia sac within the abdomen and then place a 10
However,operation times are longer.There appears to be a higher rate of serious complication rate in respect of visceral (especially bladder) and vascular injuries[4].Laparoscopic repair is more costly that an open mesh repair, and that this is not sufficiently offset by benefits to make it cost-effective[5].Limitations of our study are less number of cases and long duration of surgery.With time and experience in laparoscopy, limitations can be