ABSTRACT
Complications following an inguinal hernia repair are best classified as wound, scrotal, operative, nerve injury and general. An attempt should be made to identify indirect hernial sac on the cord and, if present, it should be secured with clips and separated from the spermatic cord structures as far as the deep inguinal ring. An appropriately sized Prolene mesh is placed on the posterior wall of the inguinal canal, making a suitably sized slit in the lateral end of the mesh to accommodate the spermatic cord. Preperitoneal laparoscopic hernia repair (TEP) is indicated for bilateral and recurrent inguinal hernias only. This procedure is performed under a general anaesthetic, with the patient in a supine position, after informed consent has been obtained. The patient is prepared and draped so that two-thirds of the lower abdomen is exposed. A direct hernial sac can then be identified and its contents carefully separated from the overlying weakened transversalis fascia.
