Laparoscopic Hernia Repair

  • Techniques
        - transabdominal preperitoneal (TAPP)
        - totally extraperitoneal (TEP)

  • Advantages
        - less pain and more rapid return to work
        - better for recurrent and bilateral hernias

  • Disadvantages
        - cost
        - learning curve; higher recurrence rate
        - nerve irritation:
            - genitofemoral n. (2%)
            - Ilieoinguinal n. (1.1%)
            - lateral femoral cutaneous n. (1.1%)*


    *Stark, et al: Surg Endosc 13:878 (1999)


New York University School of Medicine
Hernia Repair
Department of Surgery
550 First Avenue, New York, NY 10016
© 2001 New York University
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