Topic: Inguinal Hernia — Fixation

Needlescopic TEP hernioplasty has been shown to be a safe and feasible method for repair of unilateral inguinal hernia in selected patients. It is associated with significantly lower pain score when compared to conventional approach using 5mm ports. Though the mesh placement using tissue glue or tacker application can prevent migration and hence hernia recurrence, this may be technically challenging using needlescopic instruments and not feasible through 3mm working ports. A new design of laparoscopic self-fixating anatomical mesh can be used to attain the above result without increasing pain. We hereby illustrate a case of needlescopic TEP hernioplasty using laparoscopic self-fixating anatomical mesh.