الفهرس | Only 14 pages are availabe for public view |
Abstract Aim of the work This essay throws some light on the inguinal hernia, anatomically, pathologicaly, clinically and surgically with more concern for the promising laparoscopic herniorrhaphy with all its different techniques, its advantages over the classical surgical repair and possible difficulties that could be encountered during laparoscopic surgery. Summary The technique of laparoscopy herniorrhaphy varies from simple herniotomy with stabling of the neck to onlay patch, preperitoneal mesh and extraperitoneal approach. After mastering the technique of laparoscopic hernia repair and placing a wide mesh covering both direct and indirect hernial orifices, the recurrence rate has dropped from 25% to only 3% as documented by professor Schults in the states in 1993. Although laparoscopic surgery is considered as less invasive surgery, some complications have been reported after laparoscopic procedures. These complications include physiological and hemodynamic changes caused by pneumoperitoneum and positioning, bleeding which varies from parietal small bleeder to serve intraperitoneal or retroperitoneal bleeding from a major vessel, gastrointestinal injury and bowel perforation, genitourinary complications, infection and post operative problems as shoulder pain or neuralgia. As a result of the great advances in laparoscopic equipments and the valuable experience gained by laparoscopists all over the world, laparoscopic herniorrhaphy will replace most of the conventional open methods for hernial repair. |