What equipment is needed 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

All methods of laparoscopic hernia repair require the following standard laparoscopic equipment:

  • Blunt graspers
  • A 30° laparoscope
  • A tacking device or fibrin glue applicator system

A laparoscopic clip applier and suction irrigator should be available on standby.

It is common to place a Foley catheter so as to decompress the bladder and maximize the preperitoneal space. Patients who are undergoing unilateral hernia repair (a short procedure) and have no history of urinary retention can probably avoid placement of a Foley catheter if they void immediately prior to the operation.

In a TEP repair, most surgeons use specialized dissecting balloons for the initial dissection of the preperitoneal space. This saves time but does add some cost. Alternatively, the preperitoneal space can be created by means of simple blunt dissection with the laparoscope. Some surgeons prefer to use an integrated trocar−dissector balloon system to prevent evacuation of the carbon dioxide from the preperitoneal space. In addition, a 5-mm trocar and an 11-mm trocar are typically placed.

Standard laparoscopic trays usually have all the instruments needed for a transabdominal preperitoneal (TAPP) repair. The authors commonly place a pair of 5-mm trocars and one 11-mm trocar. A reusable suture passer may also be useful for closing the 11-mm fascial incision at the umbilicus.


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