Laparoscopic inguinal hernia repair

Open hernia repair is associated with significant postoperative pain and di sability resulting in delayed return to full activity. Laparoscopic hernia repair has been advocated as the procedure that combines the benefit of ten sion-free repair with the preservation of the basic anatomy of the inguinal area. We present our experience with 803 laparoscopic hernia repairs in 51 7 patients over a period of 66 months (August 92 to February 98), The effec ts of the learning curve and the refinement of the technique had their impa ct on earlier results and complications. However, with more experience we f ound that the laparoscopic preperitoneal approach is safe and efficacious. There was no mortality, Most patients (85%) were discharged home within 24 h of the procedure and returned to full activity within 10 days. Patient sa tisfaction was excellent. The complication rate decreased and operative tim e was reduced with experience. This procedure is clearly indicated in patie nts who have recurrent or bilateral hernias. It is associated with shorter convalescence and a quick return to work.