THE TRANSPERITONEAL TECHNIQUE OF PREPERIT ONEAL MESH-IMPLANTATION FORLAPAROSCOPIC HERNIA REPAIR OF DIRECT AND INDIRECT INGUINAL-HERNIAS

The method of transperitoneal application of a large polypropylene-mes h in the preperitoneal space for laparoscopic inguinal hernia repair i s described. The own experiences with a total number of 64 inguinal he rnias are presented. The technique takes the principle of conventional hernia repair into account and appears to be a safe and effective way to repair indirect and direct inguinal uni- or bilateral hernias. Dur ing a mean follow-up of 24 weeks one recurrence occurred resulting fro m an inadequate application of the mesh. The technique presented is ef fective for laparoscopic inguinal hernia repair with low morbidity. Lo ng-term follow-up is needed to determine late recurrence rate.