Trans-Inguinal Preperitoneal Meshplasty(Tipp) In Inguinal Hernia Repair

Abstract

In modern era, laparoscopic hernia repair gained popularity and good operative result at the cost of difficult learning curve. But in our setup most of the patients come from a middle to lower socioeconomic background where open pre-peritoneal meshplasty is better option in terms of duration of surgery, hospital stay, per and postoperative complications, cost effectiveness. Preperitoneal technique provides patients more or less same benefits as of the laparoscopic surgery. Preperitoneal meshplasty is the best method for strengthening of the posterior wall in case of inguinal hernia. It can be done by conventional open surgery by inguinal incision. It can be performed in high risk patient in both regional and local anesthesia contrary to laparoscopy requiring GA.