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December 1991

Laparoscopic Hernioplasty

Author Affiliations

Los Angeles, Calif

Arch Surg. 1991;126(12):1449. doi:10.1001/archsurg.1991.01410360019002

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Laparoscopy has enjoyed an unprecedented explosion in popularity, particularly as it applies to cholecystectomy. It has changed an operation that required 5 to 7 days of hospitalization and caused considerable postoperative pain and morbidity extending for 4 to 6 weeks into an operation with minimal patient discomfort, hospitalization of 1 to 2 days, and minimal morbidity.

Recently, laparoscopy for repair of groin hernias has been advertised in some surgical centers. Here, however, cautious comparison is indicated: What are the risks? Are the techniques defined? What are the indications and contraindications? What is the recurrence rate? What should be the attitude of surgeons?

Modern day herniorrhaphy is ordinarily performed with a minimal recurrence rate as an outpatient procedure, under local anesthesia, without the need for hospitalization, with rapid return to work, and with little or no restriction of activity.

Nevertheless, the magic of words like laser and laparoscopy continues to excite

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