What are the benefits and drawbacks of laparoscopic procedures for the surgical treatment of abdominal inguinal hernias?

Updated: Jul 01, 2021
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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For most abdominal wall hernias, laparoscopic repair probably represents the future. [35] As the cost of instrumentation decreases, procedure-specific instrument design improves, and the laparoscopic learning curve is obliterated, the saying “if all else is equal, less pain and better cosmesis win out” will hold true. For example, prospective studies out of Europe found laparoscopic repair of pediatric hernias to be comparable to the results of open surgery. [36] The use of new materials or techniques may alter the approach. [37]

In a retrospective cohort study of 79 patients who underwent laparoscopic repair of primary ventral hernias and 79 who underwent open hernia repair, patients with a laparoscopic ventral hernia repair were significantly less likely to develop a surgical site infection (7.6% vs 34.1%). However, patients who underwent laparoscopic repair were more likely to develop a postoperative ileus (10.1% vs 1.3%), to have a persistent bulge at the operative site (21.5% vs 1.3%), and to have a longer hospital stay. [38, 39]

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