What are the contraindications for laparoscopic inguinal hernia repair?

Updated: Apr 16, 2020
  • Author: Danny A Sherwinter, MD; Chief Editor: Kurt E Roberts, MD  more...
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Answer

General contraindications for laparoscopic herniorrhaphy parallel those of open repair.

Inguinal hernia repair itself has no absolute contraindications. Just as in any other elective surgical procedure, the patient must be medically optimized. Any medical issues, whether acute (eg, upper respiratory tract or skin infection) or exacerbations of underlying medical conditions (eg, poorly controlled diabetes mellitus), should be fully addressed and the surgery delayed accordingly.

Patients with elevated American Society of Anesthesiologists (ASA) scores and high operative risk should undergo a full preoperative workup and determination of the risk-to-benefit ratio.

Relative contraindications specific to the laparoscopic approach include a lower midline incision, previous preperitoneal surgery (eg, prostatectomy), irreducible hernia, and inability to tolerate general anesthesia.


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