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Groin hernia? Keyhole or laparoscopic repair is best

Posted Jan 15 2010 8:01am

Laparoscopic or minimal access surgery (MAS) is increasingly popular for groin hernia repair. In MAS hernia repair the principles are very similar to conventional open surgery but with much smaller incisions. The principal advantage of the MAS approach is less pain post operatively (particularly for bilateral groin hernia repairs which may then be done as day cases) and a faster return to normal activities.

The National Institute for Clinical Excellence (NICE) now states that all patients may be offered a MAS groin hernia repair if performed by a suitably qualified surgeon. MAS repair of recurrent groin hernias is especially effective as by approaching the hernia from the back the surgeon avoids the scarring that would be encountered from the front and hence may reduce the complication rate. See Arjun Shankar’s Latest Expert Advice for the Treatment of Hernias for more information.

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