Hernia - laparoscopic surgery (review) (TA83)
NICE has made the following recommendations about the use of laparoscopic surgery to treat inguinal hernia.
Laparoscopic surgery can be used as an option for repairing inguinal hernia. As with all surgery, there are some risks involved, which may include serious problems just after the operation, pain or numbness in the area of the operation, and the hernia coming back. Your doctor should tell you about the risks and benefits of each of the types of surgery (open surgery, or laparoscopic surgery using either the TAPP or TEP methods) before you make a decision on which method to have. In helping you make this decision you and your doctor should particularly consider:
- how well you are likely to cope with a general anaesthetic
- whether this is your first hernia, or whether it has come back or affects both sides of the groin
- whether an open or keyhole operation would work best for your particular hernia
- how much experience the surgeon has in the three techniques.
NICE has also said that laparoscopic surgery for inguinal hernia repair by TAPP or TEP should only be performed by specially trained surgeons who regularly carry out the procedure.
This guidance updates and replaces NICE technology appraisal 18 (published in January 2001)
Additional funding information for this guidance can be found on the Department of Health website.
- TA83 Hernia - laparoscopic surgery (review): guidance (Web format)
- TA83 Hernia - laparoscopic surgery (review): quick reference guide (MS Word format)
- TA83 Hernia - laparoscopic surgery (review): review decision - January 2011
- Review proposal - November 2010
- Review decision, 2008
- Appendix A
- Review proposal, November 2007
- NICE updates guidance on laparoscopic surgery for hernia
- TA83 Hernia - laparoscopic surgery (review): distribution list
- Assessment report: laparoscopic surgery for inguinal hernia repair
This page was last updated: 12 February 2014
- Web format
- Quick reference guide (PDF)
- Full Guidance (PDF)
- TA83 Llawdriniaeth laparosgopig ar gyfer atgyweirio torgest yr arffed: deall canllawiau NICE
Information for the public
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See this guidance in practice
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.