Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)].

Four of these meta-analyses revealed statistically highly significant lower chronic pain rates ( p < 0.001 to p < 0.00001), lower rates of numbness ( p < 0.001 to p < 0.00001), and a highly significant faster return to normal activities ( p < 0.001 to p < 0.00001) after endoscopic hernia repair [8, 10, 14, 16].

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A significant trend toward reduced recurrence rates with increasing mesh size was noted (a “large” mesh was most often 10 × 15 cm 2 size).

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