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Choosing Method of Repair
– risks and benefits of anesthesia options are variable for each patient. Usually risks are related to increasing age.
– the Kugel technique is a very good technique. It’s fallen out of favor as less surgeons are performing it. I use it for only certain situations. It’s good to have in one’s armamentarium.
– yes. The round ligament is routinely cut during many Inguinal hernia operations. No problems.
– short answer is no, laparoscopic non-mesh repair is not possible. I do offer a robotic laparoscopic non-mesh repair