Laparo-Endoscopic Approach to Complex Inguinal Hernia [Inguinoscrotal Hernias: Sliding Hernias]

Abstract

AbstractVery few surgical entities have fascinated surgeons over centuries than the complexity of inguinal hernia repair. Despite being one of the commonest procedures performed, the surgical fraternity all over the world is still in the quest for the final word on the best type of repair. Similarly, treatment of complex groin hernia remains the same [1]. Complex groin hernia can be defined as those with large size, e.g., inguinoscrotal hernia, sliding hernia, multiple recurrences, infected mesh and strangulation, etc. The approach to these hernias involves a great deal of preoperative preparations and decision-making that is carried through the operation and postoperative period. The laparoscopic approach in these cases is feasible and with good outcomes provided that the surgeon adheres to three M’s; mastery of the anatomy, meticulous dissection, and modus operandi [2]. No wonder hundreds of procedures have been described for the treatment of complex groin hernia. There has been always a concern about whether complex groin hernia can be treated with laparoscopy or not but more favorable outcomes have been found with laparoscopy than in open surgery [1].