A cost effective approach to laparoscopic transabdominal preperitoneal hernia repair.

Abstract

BACKGROUND Laparoscopic inguinal hernia repair is a well described technique. However, mesh fixation with staples has been implicated as a cause of chronic groin pain. Recent studies have shown low rates of postoperative pain and hernia recurrence when using a self-adhesive mesh such as Parietex ProGripTM (Covidien, Dublin, Ireland). Owing to the adhesive nature of the mesh, manoeuvring it into the correct position can be challenging as it adheres to the tissue firmly. We describe a technique that allows easy positioning of the mesh, saving operative time and the use of staple fixation devices.