Laparoscopic Hernia Repair
A laparoscopic hernia repair is basically a minimally invasive surgical procedure used in repair of most types of hernia. A hernia is caused when the internal organs or tissues bulge out and can be seen straining against the abdominal wall noticeably.
Hernias are seen in various parts of the body such as abdomen, diaphragm, groin, brain and at previous surgery sites. Many different methods are used to treat or repair hernia including hernioplasty, herniorrhaphy and herniotomy although laparoscopic hernia repair is still considered to be most convenient and efficient than other traditional hernia repair methods.
A laparoscopic hernia repair procedure is used to treat various types of hernias such as umbilical hernia, femoral hernia, inguinal hernia, etc.
How is Laparoscopic Hernia Repair surgery performed?
A hernia repair surgery is to correct the abnormal bulge caused by bulging internal organ or tissue accumulation. The hernia repair may be performed using the more conventional open-type surgical method which is more time-consuming and extensive. The latest technique in repairing hernias is the minimally invasive surgical method known as ‘laparoscopic hernia repair surgery’.
The laparoscopic hernia repair surgery is similar to other minimally invasive procedures. The surgery requires administering general anesthesia to the patient. A very small (keyhole) incision is made in the navel or just below it. The surgeon will fill carbon dioxide gas in the abdominal cavity through this incision in order to inflate it and get a better view of all the abdominal organs and tissues.
A thin and flexible tube (laparoscope) is inserted from this keyhole incision. This laparoscope is initially fitted with a cold light-source and a video camera at its end so the surgeon can get a good visual of the abdominal organs and tissues on the video monitor. The surgeon then uses specialized tiny surgical instruments attached to similar flexible tubes to perform the surgical procedure. This involves the surgeon repairing the hernia by pushing it back to its original position and preventing the bulging of the organ or the herniated tissue. After shifting the herniated tissue back into its original position the surgeon will use a surgical mesh to be fixed over the previously herniated tissue to prevent it from bulging out again in the future.
A laparoscopic hernia repair is known to be considerably less painful and also decreases the amount of time spent in the hospital as well as the recovery period.
Why is a Laparoscopic Hernia Repair required?
A laparoscopic hernia repair is one of the more convenient and efficient methods of repairing herniated organs and tissues, especially in the abdominal region. A surgical repair is required for painful hernias including strangulated or incarcerated hernias. For children with inguinal hernias a surgery is the most ideal treatment method.
Laparoscopic hernia repair is considered ideal for patients who are in an otherwise good overall health and without any serious underlying medical disorder or conditions. The surgeon/doctor will check your complete medical history as well as perform a physical examination to determine of you are fit to undergo a surgery.
Laparoscopic hernia repair surgery is not recommended for patients who:
- Have incarcerated hernia
- Have anesthetic allergy
- Are hemophiliac (bleeding disorder)
- Are on blood-thinning medication
- Have had abdominal surgeries and scar tissue prevents efficient use of laparoscope
- Are pregnant
- Are morbidly obese
What are the advantages of a Laparoscopic Hernia Repair surgery?
A laparoscopic hernia repair surgery is advantageous over a conventional open-type hernia repair surgery because:
- Laparoscopic surgery is fast becoming the choice of most patients about to undergo surgery due to less pain and discomfort seen after surgery as well as the faster rate of recovery associated with it
- Recurrent hernia cases can be successfully repaired in a better way by using laparoscopic hernia repair as compared to conventional open-type hernia repair surgery
- It allows you to simultaneously check for a second hernia and repair it during the same surgery
- Cosmetically speaking, a laparoscopic surgical method is more preferable as it lessens the amount of scars after surgery too
What are the risks associated with a Laparoscopic Hernia Repair surgery?
A laparoscopic hernia repair surgery entails the commonly seen risks associated with a surgical procedure such as:
- Anesthetic allergy
- Pain in the testicles or in the spermatic cord
- Damage to the spermatic cord may cause infertility
- Fluid/blood accumulation in the scrotum, inguinal canal or the abdominal muscles
- Bladder injury
- Urinary difficulties
- Infection at the incision site
- Scar tissue formation at incision site
- Internal organ damage/injury
- Numb/painful thighs
- Hernia recurrence
Generally, laparoscopic hernia repair is not recommended for patients who:
- Are prone to blood clots (deep vein thrombosis)
- Are habitual smokers
- Are on aspirin medication
- Take blood thinners
- Are suffering from serious urinary problems
A laparoscopic hernia repair surgery requires smaller-sized and lesser number of incisions than that is required in a conventional open-type hernia repair surgery. A laparoscopic hernia repair can be used to repair hernias present on both sides at the same time through the same incisions. Laparoscope allows the surgeon to check the complete abdominal cavity for other herniated sites or similar damage to the organs.