title: Laparoscopic repair of inguinal hernia using two layers of mesh with reinforcement of the inner mesh by 2 sutures.
abstract: OBJECTIVE
  To determine the effectiveness of the laparoscopic repair of inguinal hernia using two layers of mesh with reinforcement of the inner mesh by 2 sutures.
  
  
  METHODS
  The hernias included primary, direct, indirect, bilateral inguinal hernias and 5 recurrent inguinal hernias. The present report described laparoscopic repair by the total extraperitoneal mesh placement (TEP) technique using two layers of polypropylene mesh with the inner mesh reinforced by 2 sutures in 20 adult patients with 22 hernias.
  
  
  RESULTS
  The operations were successfully performed on all the patients with 1 complication (5.00%) which was treated by surgical procedure. There was no recurrence with a follow-up of 10.27+/-5.96 months (range1.10-20.00 months).
  
  
  CONCLUSIONS
  The report has shown that this operation can be used to treat primary, recurrent, direct, indirect, and bilateral inguinal hernias in adults with no recurrence in a short term follow-up.
authors.affiliation: Department of Clinical Science, Faculty of Medicine, Thammasat University, Rangsit Campus, Thailand.
authors.forename: Virawat
authors.initials: V
authors.lastname: Luangchna
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011126:Polypropylenes; D011183:Postoperative Complications; D011446:Prospective Studies; D013526:Surgical Mesh; D013536:Suture Techniques; D016896:Treatment Outcome
chemical_list: D011126:Polypropylenes