Bipan Chand and Jeffrey Ponsky

Department of Minimally Invasive Surgery, Cleveland Clinic Foundation, Cleveland, Ohio, U.S.A.

■ INTRODUCTION ■ TECHNICAL PEARLS

■ INDICATIONS AND CONTRAINDICATIONS Bleeding

■ ANATOMY Nerve Injury

■ SURGICAL TECHNIQUES Visceral Injury Transabdominal Preperitoneal Hernia Repair Recurrences Totally Extraperitoneal Hernia Repair ■ SUMMARY

■ POSTOPERATIVE CARE ■ REFERENCES

Transabdominal preperitoneal and totally extraperitoneal approaches are the current modalities used in laparo-scopic herniorrhaphy.

The learning curve for a transabdominal preperitoneal or totally extraperitoneal repair has been documented to be around 50 cases.

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