Brief Overview about Laparoscopic TAPP Operation (For Inguinal Hernia Repair) Complications

Abstract

Background: The intraperitoneal onlay mesh (IPOM): Access the abdominal cavity through the peritoneum (intra-abdominal approach)  and places a large piece of mesh against the peritoneum. The mesh is secured with staples placed into the same anatomic structures as in the TAPP repair but is placed in an intraperitoneal position instead of a preperitoneal position  i.e. in direct contact with the intestinal loops. All vessels in the inguinal region can be ligated when injured except external iliac vessels. No sutures or staples must be put in the (triangle of doom) between ductus deferens medially and spermatic vessels laterally to avoid external iliac injury. Seroma formation occasionally follows laparoscopic hernia repair. Seromas are more common following  TEP repair , most probably from inability of fluid to drain into the peritoneal cavity. These usually resolve within six weeks but can present for several months.