Advantages

• Tension-free, with mesh placed on inside of abdominal wall. Similar to patching up a tire.
• Radical cure for inguinal hernia, treats at the source of origin, not at site of presentation.
• Minimally invasive, with 3 tiny incisions.
• Faster recovery, quicker return to normal activities and to work.
• Less pain.
• Less complications related to the wound, cord or scrotum, e.g. infection, hematoma, neuralgia.
• Uncovers and treats other unsuspected hernias.
• Best for patients with:
  I)  Poor tissues, poor healing, or obesity.
  II)  Large hernias or large defects.
  III)  Need to return to heavy work, exercise, or activity quickly.
  IV)  Recurrent hernias (repair in virgin territory.).
  V)  Majority of primary and / or unilateral hernias.
  
  
• Wounds are in lower midline, less sensitive areas, no injury to muscles or nerves.
• No disturbance of normal structures in the groin.
• No postoperative muscle spasm.
• No port site hernias.
• Allows the necessary extra high and wide dissection.
• Allows the use of very large mesh, 15 cm x 15 cm, if necessary.
• Avoids entering peritoneal cavity, and getting out again to do the repair.
• Avoids need to close peritoneum over the mesh.
• Avoids use of too many staples, which may trap nerves, or hinder the muscles freedom to slide.
• Recurrence rate is as good or better than the best Open method.