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Laparoscopic Surgery of the Abdomen pp 273–281Cite as

Laparoscopic Hernia Repair: Indications and Contraindications

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Conclusion

Laparoscopic herniorrhaphy is being performed by an increasing number of surgeons. Although there is a considerable learning curve, the short-term recurrence and complication rates are low. These results have made laparoscopic hernia repair the preferred treatment option for patients with bilateral and recurrent hernias.

TEP is preferable to TAPP because of its lower complication and recurrence rates. TAPP should be reserved for patients with large scrotal hernias, incarcerated hernias, prior transverse lower abdominal wall incisions, and patients requiring diagnostic laparoscopy.

The inability to tolerate general anesthesia for any reason and a hostile abdomen are clear contraindications to laparoscopic hernia repair. Surgeons must carefully evaluate their patients to ensure that laparoscopic technology is properly applied, especially because anterior repair techniques are safe and provide good results. Laparoscopic herniorrhaphy is an excellent technique, but it is not minimally invasive. It may be too stressful an operation for the young patient with a unilateral hernia or an older patient who is better served with a less invasive operation performed under local anesthesia.

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Authors
  1. David L. Crawford
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  2. Edward H. Phillips
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Editor information

Editors and Affiliations

  1. Department of Surgery, Medical College of Georgia, Augusta, GA, 30912, USA

    Bruce V. MacFadyen Jr. MD (Professor) (Professor)

  2. General Surgery, Medical College of Georgia, Augusta, GA, 30912, USA

    Bruce V. MacFadyen Jr. MD (Professor) (Professor)

  3. St. Vincent’s Hospital and Health Center, Indianapolis, IN, 46260, USA

    Maurice E. Arregui MD (Director of Fellowship in Advanced Laparoscopy and Endoscopy and Ultrasound) (Director of Fellowship in Advanced Laparoscopy and Endoscopy and Ultrasound)

  4. Department of Surgery, Duke University Medical Center, Durham, NC, 27710, USA

    Steve Eubanks MD (Associate Professor) (Associate Professor)

  5. Duke University Medical Center, Durham, NC, 27710, USA

    Steve Eubanks MD (Associate Professor) (Associate Professor)

  6. Centennial Medical Center, Nashville, TN, 37203, USA

    Douglas O. Olsen MD (Attending Surgeon) (Attending Surgeon)

  7. Department of Surgery, University of Southern California Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA

    Jeffrey H. Peters MD (Professor) (Professor)

  8. General Surgery, University of Southern California Keck School of Medicine, University of Southern California, Los Angeles, CA, 90033, USA

    Jeffrey H. Peters MD (Professor) (Professor)

  9. Department of Surgery, Section of Hepatobiliary, Pancreatic, and Gastrointestinal Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA

    Nathaniel J. Soper MD (Professor) (Professor)

  10. Oregon Health & Sciences University, Portland, OR, 97227, USA

    Lee L. Swanström MD (Clinical Professor of Surgery) (Clinical Professor of Surgery)

  11. Department of Minimally Invasive Surgery, Legacy Health System, Portland, OR, 97227, USA

    Lee L. Swanström MD (Clinical Professor of Surgery) (Clinical Professor of Surgery)

  12. Department of Colorectal Surgery, Weston, FL, 33331, USA

    Steven D. Wexner MD (Chairman) (Chairman)

  13. Cleveland Clinic Florida, Weston, FL, 33331, USA

    Steven D. Wexner MD (Chairman) (Chairman)

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Crawford, D.L., Phillips, E.H. (2004). Laparoscopic Hernia Repair: Indications and Contraindications. In: MacFadyen, B.V., et al. Laparoscopic Surgery of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/0-387-21780-0_30

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  • DOI: https://doi.org/10.1007/0-387-21780-0_30

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