f Laparoscopic hernia repair

  With the continuous development of laparoscopic techniques, more and more people are opting for laparoscopic hernia repair surgery. The most commonly used methods are transabdominal preperitoneal patch implantation (TAPP) and complete extraperitoneal preperitoneal patch implantation (TEP).TAPP is performed through the abdominal cavity to access the preperitoneal space, followed by fixation with a patch and suturing of the peritoneal wound.TEP is a complete extraperitoneal separation of the preperitoneal space. A hernia patch is then inserted for fixation.  The entire procedure requires only two 5-mm and one 10-mm wounds, which do not enter the peritoneal cavity, but are performed completely extraperitoneally, freeing the hernia sac, pulling it back into the peritoneal cavity, and covering the herniated gap with an artificial mesh. Therefore, it does not cause intra-abdominal adhesions. The advantages of laparoscopic surgery include: less trauma, faster recovery, less postoperative pain, shorter postoperative hospital stay, lower recurrence rate, simultaneous examination of the opposite side, early detection and repair of occult hernia, and simultaneous repair of bilateral hernia. The use of laparoscopy for recurrent hernias can avoid nerve damage or ischemic orchitis due to re-entry through the original surgical incision. Laparoscopic hernia repair is now widely performed in our hospital. We perform laparoscopic surgical treatment of various abdominal wall hernias such as pediatric hernia, inguinal hernia, incisional hernia, stoma hernia and esophageal hiatal hernia with satisfactory results.