After identifying the hernia type under laparoscopy, the indirect hernia, comprising 70% of inguinal hernia, is closed using the APIRS. As the procedure is proceeded at the peritoneal level where no nerve supply. Patient will not feel pain after the operation and resume to daily activities quickly. For the rest 30% of direct hernia, we use the APIRS needles to fix the mesh. This needle set can also be used to close of trocar wounds and to fix the Nuss bar.

The APIRS repairs the indirect inguinal hernia at the peritoneal level. The patients feel no pain after the procedure and recover quickly. For the direct inguinal hernia, after the hernia defect is covered with a mesh, the APIRS can be used to fix the mesh to avoid mesh displacement and recurrence. The APIRS resolves the complications of modern hernia surgery using the mesh, including prolonged op time, post op wound pain, mesh-related irritable and infection.

The APIRS could be widely used in many surgical fields, including 1. closure of indirect hernia (comprising 70% of inguinal hernia), 2. mesh fixation of direct hernia ( comprising 30% of inguinal hernia). 3. fixation of Nuss bar during the funnel chest surgery. 4. Closure of trocar wounds in minimally invasive surgeries. The operation is simple, effective , and easy to learn.