This minimally invasive method, for inguinal hernia repair, was first used in 1965 by Renee Stoppa, and refined by Robert Kugel in 1999. Using a small 1.25" incision, a thin mesh is placed under the abdominal wall in the same location as the laparoscopic repair. This repair has all the benefits of laparoscopic surgery, since the mesh is placed in the exact same place. At the same time, it has all of the advantages of open surgery in terms of safety and the ability to perform it under local anesthesia with sedation in selected patients. This combination allows for a faster recovery from hernia surgery as well as a lower incidence of chronic pain.
Video of Preperitoneal inguinal hernia repair:
If you are interested in seeing a video of me performing this procedure, please click here. You will be asked to create a free account in order to see the entire video.