Mesch insertion is a reliable means for repairing inguinal hernias. Re
sults in 162 patients treated laparoscopically via an intraperitoneal
approach are reviewed herein. Analgesics were not required after the f
irst postoperative day in 71% of patients. Fourteen patients were trea
ted on a day-care basis. There were two recurrences due to inadequate
fixation of the mesch to Cooper's ligament. The two patients who devel
oped an infection did not require removal of the patch and had a stron
g, completely healed wall at the follow-up evaluation after four and t
en months, respectively. The number of patients and duration of follow
-up are still inadequate. However, these preliminary data warrant cont
inued use and evaluation of this technique.