부산대학교 도서관

Laparoscopic inguinal hernia repair originated in the early 1990s. Surgical repair of these hernias is one of the most performed surgical procedures in the world. In the United States, approximately 800,000 inguinal herniorrhaphies are performed annually. High recurrence rates, morbidity, and prolonged recovery have led to a gradual evolution in the way surgeons approach the problem of inguinal hernia repair. This chapter will highlight the technical details, pitfalls, and literature results of tension-free prosthetic repairs and tissue-suture repairs. In addition, the chapter will take an in-depth look at groin anatomy related to inguinal hernia repair, preemptive measures such as peri- and postoperative gabapentinoids, infiltration of local anesthetics, and how therapeutic ultrasound-guided nerve blocks can decrease the inflammatory cascade, lessen central sensitization, and halt the development of chronic postsurgical pain (CPSP).