Hernia operation are one of the commonest operations &laparoscopic surgery has brought revolution to this disease. Bilateral inguinal hernia , unilateral inguinal hernia, recurrent hernia, large hernia in the inguinal region and femoral region are very well tackled by this approach of keyhole surgery. One of the most important type of hernia are the #incisional hernia & ventral hernias that happens in the abdominal wall which occurs postoperatively. They are conventionally done by open surgery but it poses lot of wound related complications like wound infections, pain, recurrent hernia, flap necroses, blacking of the skin & bad scar. All these complications can be avoided if one does laparoscopic repair .Normally the IPOM & IPOM PLUS are the the two approaches which are used for incisional hernias . Meshes used in IPOM & IPOM PLUS are very expensive and can be done away with modern way treatment of abdominal wall reconstruction know as AWR. Different approaches are Tep ie extra peritoneal approach and eTAP ie extended totally extraperitoneal approach and TAPP . These are all abbreviations of different types of hernias. Presently in very large hernias TAR is the operation in fashion. Bigger operations resulting in big incisional hernias require defect closure rather then bridging the defect by this type of an operation known as transverse abdomonis release (TAR). One can use a very large mesh 30×30 cm to reinforce abdominal wall which has been destroyed by incisional hernias. Patients functional results are superlative. These procedures can be done laparoscopically and has come as a huge advancement &revolution in hernia surgeries .
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