The hernia is repaired from behind the abdominal wall. Here too a surgical mesh or screen is fixed over the problem area and held in place with small surgical staples. 3 or 4 quarter inch incisions are usually necessary. It enables the patient to move easily It is cosmetically better. The recurrence rates are high.
Postoperative pain can be present due to a nerve being clipped.
Large and complicated hernias cannot be repaired successfully. It is much more expensive than the traditional type of surgery. The patient should stop smoking. If the patient has cough, it must be treated. If there is difficulty in passing either urine or stools, it must be attended to.