Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment.

The role of endoscopic extraperitoneal herniorrhaphy: where do we stand in 2005?

Bowne WB, Morgenthal CB, Castro AE, Shah P, Ferzli GS

Department of Surgery, The State University of New York, Health Science Center of Brooklyn, 65 Cromwell Avenue, Staten Island, New York 10304, USA.

Inguinal hernia repair is a common surgical procedure, but the most effective surgical technique remains controversial. The evolution of laparoscopic techniques has allowed reproduction of open preperitoneal repair via an endoscopic total extraperitoneal (TEP) approach. More recently, the advent of comprehensive training in laparoscopy has allowed TEP to continue evolving as the feasibility of this approach gains recognition as a preferable technique. Once considered very difficult to learn, TEP currently is adequately taught in many surgical training programs. This report reviews the fundamentals and details various modifications that make this procedure more desirable than open procedures and other laparoscopic techniques. A resultant decrease in operative time, cost of the procedure, and morbidity to the patient is routine. In addition, the authors review their institutional experience and examine other current evidence-based data.

Published 26 April 2007 in Surg Endosc, 21(5): 707-12.
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