With modernization of medical sciences, a concept of minimal access surgery was conceived. After very acceptable results of gallbladder surgery, the technique was extended to other organs and surgeries with reduced postoperative pain, mobility, reduced time of return to work and excellent cosmesis.
Groin hernias, being the most commonly done procedure in males was not forgotten and all efforts were made to devise a technique to apply the mash on the under surface of abdominal wall as earlier experience with mesh application on the outer surface of the groin muscles had resulted in rather unacceptable incidence of recurrence of hernia especially in patients with obesity, chronic upper respiratory tract infection, cough and straining at urine because of enlarged prostate. Early experiences of laparoscopic hernia repair (about 30 years ago) revealed that the technique was difficult to learn as it dealt with an area where structures (nerves and major vessels) were in close proximity to most of the dissection making them liable to injury with disastrous results in some cases.
Key words: Laparoscopy, inguinal hernia, herniorrhaphy
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