Minimally Invasive Approaches to Inguinal Hernias

Abstract

Both the transabdominal preperitoneal approach and the total extraperitoneal approach to inguinal hernias provide an effective means of repairing inguinal hernias. The robotic platform can be used and may help to decrease immediate postoperative pain; however, as this is a fairly new technique, more research will help further determine long-term outcomes. In all methods of fixation, we ensure adequate fixation medially with tacks placed on the Cooper ligament. Awareness of the nerves and vessels helps to guide dissection as well as prevent inadvertent injury during mesh fixation.

Keywords: Inguinal hernia; Minimally invasive repair; Robotic inguinal hernia repairs; Total extraperitoneal approach; Transabdominal preperitoneal approach.