The success of groin hernia repair is measured primarily by no recurrence, fewest complications, minimal costs, & early return to routine activities. The early recurrences are mainly caused by the failure on the part of the surgeon (technical errors or tension on the suture line) and by infection. Late recurrence results from defects in collagen metabolism as the patient ages, with thinning of scar tissue and continued inherent weakness of the inguinal floor.
In laparoscopic hernia repairs, correct and generous dissection of preperitoneal space adequate mesh size, wrinkle-free placement of the mesh and fixation of mesh are the important factors in avoiding recurrence rather a than strength of the material. Special attention should be paid to preperitoneal lipoma as a possible overlooked herniation or potential future pseudorecurrence despite nondislocated correctly positioned mesh. Case…
