Table 1.
Summarize various methods in terms of concept, advantages, disadvantages and development.
| Operation | Concept | Advantage | Disadvantage | Development |
|---|---|---|---|---|
| IPOM | Intraabdominal peritoneal onlay mesh repair | 1. Simple and easy to learn | 1. Significant postoperative pain 2. Severe abdominal adhesions 3. The recurrence rate is high |
Applied to 1. Incision hernia 2. Recurrent hernia |
| TAPP | Transabdominal laparoscopic preperitoneal hernia repair |
1. Simpler than TEP 2. Wide surgical field of vision 3. Recognizable anatomical structure |
1. Easy to be disturbed by abdominal organs 2. Prone to abdominal adhesions |
Applied to 1. Large hernial sac 2. Incarcerated hernia 3. Female patients |
| TEP | Totally Extraperitoneal hernia repair |
1. Avoiding interference from abdominal organs 2. Compared with TAPP, the surgery has less damage, shorter surgery time, and less postoperative pain |
1. High operational difficulty 2. Small surgical field of view 3. Difficult to identify anatomical structures |
Applied to 1. Straight hernias, 2. Bilateral hernias 3. Elderly patients |
| SILS | Single port laparoscopic Inguinal hernia repair | 1. Mild pain 2. Quicker recovery 3. Good cosmetic effect |
1. Long surgical time 2. High surgical difficulty |
Different approaches have emerged, each with its own advantages |
| Robotic inguinal hernia repair | Robotic inguinal hernia repair | 1. Greater surgical field of view 2. Clearer dissection 3. Reduced tissue damage |
1. Longer surgical time 2. High cost |
Robotic inguinal hernia repair is currently performed at only a few hospitals, where it is available |
IPOM = intraabdominal peritoneal onlay mesh repair, SILS = single-port laparoscopic technique, TAPP = transabdominal laparoscopic preperitoneal hernia repair, TEP = totally extraperitoneal hernia repair.