Danielle T Friedman, MD. Yale School of Medicine – Department of Surgery
Laparoscopic inguinal hernia repair remains controversial despite growing body of literature. There is a more difficult learning curve compared to open repair. Current recommendations suggest consideration of laparoscopic approach in female patients due to increased risk of recurrence, thought to be related to the higher incidence of femoral hernias. Laparoscopic repair is also recommended for bilateral or recurrent inguinal hernias after previous anterior approach. The indications are less clear in primary unilateral, large, or incarcerated inguinal hernias and many surgeons are still reluctant to attempt laparoscopic approaches, especially in the latter two scenarios. We present a video case that demonstrates the safe and effective use of a totally transabdominal preperitoneal approach in an elderly female with a large, chronically incarcerated inguinal hernia.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88202
Program Number: V149
Presentation Session: Hernia Videos Session
Presentation Type: Video