Laparoscopic Inguinal Herniorrhaphy

  • Phillip P. Shadduck
  • Lewis B. Schwartz
  • Steve Eubanks


Inguinal herniorrhaphy is an operation with a rich history, almost as old as surgery itself (Table 19–1). It is the second most common general surgical procedure performed in the United States, with over 500,000 annual cases [1]. Yet, until recently, few advances had been made in the treatment of inguinal hernia. Recurrence rates in population-based series average about 10% [2] and morbidity, including incisional pain and convalescence, continues to be significant. With the widespread acceptance of laparoscopic cholecystectomy as the preferred approach to gallbladder disease, it was, perhaps, inevitable that laparoscopic techniques would be applied to the treatment of inguinal hernia (Table 19–2). At least six conceptually different techniques have been described to date. The purpose of this chapter is to describe in detail two laparoscopic mesh repairs, the transabdominal preperitoneal (TAPP) placement, and the totally preperitoneal (TOPP) placement.


Inguinal Hernia Preperitoneal Space Indirect Inguinal Hernia Internal Inguinal Ring Inferior Epigastric Vessel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Phillip P. Shadduck
  • Lewis B. Schwartz
  • Steve Eubanks

There are no affiliations available

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