Hernia Repair: Overview of Hernia Treatment
Some drawbacks of the laparoscopic approach are the need for full general anesthesia and the use of extremely large segments of mesh for repair, requirement of a catheters into the bladder and a much longer operative time compared to open methods.
Studies have shown:
- Laparoscopic repair has a significantly greater failure rate compared to Shouldice repairs.
- Risks of life threatening complications such as bowel or bladder perforations are much more common with the laparoscopic repair.
- Chronic post-operative pain is associated with the laparoscopic repair due to the use of mesh