An Overview on Hernial Repair

Abstract

Background: Inguinal hernia repair is one of the most frequently performed surgical procedures worldwide. The use of prosthetic mesh has significantly reduced recurrence rates; however, the optimal method of mesh fixation remains controversial due to its association with postoperative complications such as chronic pain, seroma, and infection. Both open and laparoscopic techniques are widely used, each with distinct advantages. Open Lichtenstein repair is favored for its simplicity and cost-effectiveness, while laparoscopic approaches, particularly the transabdominal preperitoneal (TAPP) technique, offer reduced postoperative pain and faster recovery. Various fixation methods, including sutures, tackers, and glue, have been developed to achieve an optimal balance between secure mesh placement and minimizing tissue trauma.