Laparoscopic inguinal bilateral hernia repair: a cost-effective procedure?
Twenty million surgical interventions of inguinal hernia are performed annually in the world (1). There are different surgical techniques for the treatment of inguinal hernia, including the laparoscopic approach with two different techniques (TAPP and TEP) (1). Laparoscopic inguinal hernia surgery in adults is considered a feasible, safe and cost-effective technique that achieves less postoperative and chronic pain and a faster recovery (1,2). However, it continues to be performed in a variable but small percentage of patients by laparoscopic approach, if we compare with the number of non-laparoscopic inguinal hernioplasties that are performed. The rate of laparoscopic surgery in inguinal hernia varies according to countries between 0 to 55%, being 25% in the USA (1,2).