Laparoscopic Inguinal Hernia Repair: A New Approach

Abstract Objective: Over a 5-year period, patients, who underwent laparoscopic total peritoneum intraperitoneal onlay mesh (TPIPOM) hernioplasty were retrospectively examined. The investigation focused on technique feasibility and complication incidence, in particular complication related to this novel hernia therapy. Patients and Methods: Between January 2002 and March 2003, 54 patients were treated with TPIPOM hernioplasty. Results: Mean overall surgery time was 25.45 ± 5.2 minutes, and hospital stay was 3.8 ± 1.3 days. Mean follow-up time was 72.4 ± 3.1 (range, 69–84) months. The overall recurrence rate was 1.8% (1/54). Complications, in the form of persistent neuralgia, osteitis pubis, subcutaneous hematoma, numbness, or vascular injury, did not occur. All patients returned to usual activities of social life, hobbies, looking after the house, and work by 1 month after surgery. Conclusions: On the basis of our initial experience, laparoscopic TPIPOM hernioplasty is feasible, effective, and easy to perf...