Assessment of Intra-Operative Difficulties and Early Post-Operative Complications in Laparoscopic Inguinal Hernia Repair using Conventional Polypropylene Mesh Versus 3D Mesh

Abstract

he fundamental mechanism of abdominal wall hernia formation is the loss of structural integrity at the musculotendinous layer. The exact cause of inguinal hernia is still unknown but the factors contributing in its occurrence include; preformed congenital sac, chronic passive rise in the intra-abdominal pressure and weak abdominal wall. A great revolution in inguinal hernia repair surgery occurred during the last two decades with the introduction of tension-free hernia repair by Lichtenstein in 1989. Because of its effectiveness and simplicity, it has almost replaced sutured repair and become the current gold standard. Meanwhile, in the early 1990s, a second revolution in the treatment of inguinal hernia occurred with the application of laparoscopic surgery. It combines the advantages of minimally invasive surgery, tension free repair and mesh hernioplasty using the standard mesh is a Polypropylene mesh (PPM).