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What is Mesh?

Learn more about mesh, the material that many surgeons use to repair hernias

Laparoscopic Tension-Free Repair

Surgeons have been performing laparoscopic repairs for the past decade. More and more surgeons are learning and perfecting this minimally invasive technique.


To perform a laparoscopic inguinal hernia repair, the surgeon makes 3 – 4 small incisions on the abdominal wall and inserts small tubes, through which an endoscope and dissecting instruments can be passed. The entire procedure is watched by the operating team on a video screen. The space under the inguinal canal or within the abdominal wall is dissected and any organs that have entered the hernia sac are brought back into the abdominal cavity. A piece of mesh is then placed over the weakened area and held in place with any of a variety of attachment devices.

This surgery is called posterior hernia repair because the hernia is being repaired from behind the abdominal wall. It differs from traditional mesh repairs, in which the mesh is placed on the outside of the abdominal wall.

Laparoscopic surgery may not be appropriate for patients who:

  • Are pregnant
  • Cannot tolerate general anesthesia
  • Have a severe lung disease
  • Have had multiple previous abdominal surgeries
  • Have a bleeding disorder or are taking medications to prevent blood clots
  • Are obese