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. 2011 Jul 13;25(9):2773–2843. doi: 10.1007/s00464-011-1799-6
Level 3 Operation time is longer than in uncomplicated hernia.
Complication rate and recurrences are similar to uncomplicated cases.
Advantage of laparoscopy is that bowel viability can be observed during the whole time of procedure.
Frequency of bowel resection is less compared with open hernia surgery.
Level 5 Reduction of hernia content or cutting the hernia ring if necessary for reduction may be safer when overlooking both peritoneal and preperitoneal space.