Southern Medical Journal · 1991 · 52 citations · 0 references
MedicineSurgeryEnhanced Recovery After SurgeryGeneral SurgerySurgical InstrumentationAbdominal SurgeryHernia RepairHernia SurgeryLaparoscopic SurgeryMinimally Invasive SurgeryPostoperative ComplicationsAbdominal HerniasAbdominal Wall Hernia RepairElective Hernia RepairRecurrent Hernia Repair
Laparoscopic herniorrhaphy is compared with conventional herniorrhaphy in 20 patients, who underwent laparoscopic herniorrhaphy utilizing a Mersilene plug and patch graft, and high ligation of the neck of the sac with an Endo-GIA. Patients were pain-free and returned to normal activity the first postoperative day. There was one recurrent direct inguinal hernia in an indirect repair. Laparoscopic herniorrhaphy appears to be a safe, effective way to repair indirect inguinal hernias and certain direct inguinal hernias. There is a marked reduction of pain and rapid return to normal activity. The disadvantage of this procedure is the lack of long-term follow-up.