Modern hernia surgery originated more than 100 years ago with the Bassini repair, and although this procedure has reduced the recurrence rate after hernia repair to 10%, the recurrence rate has not been further reduced because the root cause of recurrence has not been addressed.
However, the recurrence rate has not been further reduced because the underlying causes of recurrence have not been addressed. It has become the desire of surgeons to be able to cover the abdominal wall defect, and more precisely the area where the hernia may have formed, with a patch completely under direct vision. With the development of laparoscopic techniques, laparoscopic inguinal hernia repair has gradually developed and matured based on tension-free hernia repair. Currently, there are three main clinical methods for laparoscopic treatment of ventral hernia: intraperitoneal patch flattening,
transperitoneal preperitoneal patch implantation, and total extraperitoneal patch implantation. In the treatment of inguinal hernia TAPP and TEP are more widely used, while IPOM is currently used clinically for the treatment of incisional hernia. Brief steps: 1) Establishment of pneumoperitoneum and working orifice 2) Dissection of the preperitoneal space to expose the hernia ring and anatomical landmarks 3) Preperitoneal patching 4) Fixation of the patch 5) Closure of the peritoneum Advantages of laparoscopic inguinal hernia repair 1) Less pain, less suffering and faster recovery after surgery 2) More suitable for the treatment of bilateral hernia and recurrent hernia 3) More comprehensive observation of the hernia-prone locations in the bilateral inguinal region, facilitating clear diagnosis, especially for compound hernia and occult hernia. Especially for compound hernia and hidden hernia. 4. Tension-free repair does not destroy the anatomical structure of the inguinal canal and reduces damage. 5. The recurrence rate after surgery is lower than that of open surgery.