technique
Last reviewed 01/2018
Several methods of laparoscopic herniorrhaphy have been described. Commonly, an angled laparoscope is inserted at the umbilicus and two cannulae are sited in the iliac fossae for dissecting instruments. The hernial sac is incised superiorly, cut and removed. Polypropylene non-absorbable coils of mesh are then inserted to fill the defect, and strips of mesh are placed over these and secured to the internal peritoneal surface with endoclips.
Reported complications include:
- hernial recurrence
- mesh-plug migration
- nerve injury
- bowel adhesions
- haematomas