Laparoscopic Inguinal Hernia Tension Free Darn Mesh Repair

Inguinal hernia repair has undergone several modifications since the description of the Bassini technique. The various techniques described are aimed at improving outcome, particularly recurrence rate. The underlying factor identified as a cause of recurrence in most of these methods of repair is the fraying and tearing of the fibers of the inguinal ligament due to the significant amount of tension associated with them. Darning technique first introduced by Abrahamson and popularized by Moloney is considered to be a relatively tension free through tissue-based method of repair. It entails approximation of the inguinal ligament to the conjoint tendon with monofilament nylon beginning from the pubic tubercle to the internal ring and back to the pubic tubercle without forcibly bringing the tissues together with the sutures forming a weave in the posterior wall of the inguinal canal.