What is Laparoscopic Hernia Repair?
Hernia is a condition in which part of an organ is displaced and obtrudes through the wall of the cavity containing it (often involving the intestine at a weak point in the abdominal wall). A hernia repair surgery strengthens the weak muscle area and place the abdominal organs to their appropriate place. A mesh is placed in the abdominal wall, at the weak spot where the hernia came through, to strengthen it.
Laparoscopic hernia repair is similar to other surgical procedures. It uses an instrument called a laparoscope. General anesthesia is needed for laparoscopic repair. Open hernia repair can be done under general, spinal, or local anesthesia. Two to four small incisions are made just below the navel through the abdominal wall through which a laparoscope (a thin telescope with a light on the end) and other surgical instruments are passed into the abdomen. The incisions are small, so the whole technique is often called keyhole surgery. It is also often referred to as minimally invasive or minimal access surgery. The hernia is then viewed from inside the abdomen, from the other side of the abdominal wall. The abdominal cavity is inflated with carbon dioxide gas to give the surgeon space to work inside the patient and the actual surgery is done remotely with long instruments. The hernia defect or hole is covered with mesh from within the abdomen and staples commonly fired through it into the muscle tissue in order to fix it as a patch.
When Hernia Surgery would be recommended?
Hernia Repair Surgery is recommended to redeem the previous failures of a Hernia procedure. If there has been a previous failed open repair, particularly if mesh was used ‘unsuccessfully’ or perhaps, inexpertly. There are many considerations to be taken into account when making a decision to have inguinal hernia repair surgery or not. Is the hernia incarcerated or strangulated, and if the patient has any other medical conditions.
In certain cases involving hernia on both sides (a bilateral hernia) and both are to be repaired at the same time. Surgical repair is recommended for inguinal hernias that are causing pain or other symptoms and for hernias that are incarcerated or strangulated. However, surgery is always recommended for inguinal hernias in children. This can be done by inserting the laparoscope into the side that is being operated on and looking at the opposite side. If a hernia is present, the surgeon can repair both sides during the same operation.
A laparoscopic repair requires several small incisions instead of a single larger cut. If hernias are on both sides, both hernias can be repaired at the same time without the need for a second large notch. Laparoscopic surgery allows the surgeon to examine both groin areas and all sites of hernias for imperfections. Also, the patch or mesh can be positioned over all likely faulty areas, helping prevent a hernia from recurring in the same place or developing in a different area
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After Care Support Package
- Constant availability of specialist weight-loss professionals and support team that includes dietitians as well as your bariatric surgeon
- Pre and post operative care
- Transport to and from the surgical procedure
- Unlimited access to specialist nurses to help you with recovery
- Post operative support staff and psychotherapists
- Dietary guidance post surgery
- Emergency helpline around the clock
- Regular weight and health monitoring to ensure your weight loss targets are being comfortably met
- Two to five years of advice and support for losing weight and keeping off the lost weight
- Personal trainer program to aide you in achieving and maintaining fitness
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Advantages of Laparoscopic Hernia Surgery
No Postoperative Pain
The benefit put forward for laparoscopic surgery is that no large cut is made on the abdomen so in theory there is less postoperative pain and a quicker return to normal endeavors.
Recovery Time
Most people who have laparoscopic hernia repair surgery are able to go home the same day. Recovery time is about 1 to 2 weeks, although the patients are advised to remain active. Light activities can be carried out after 2 weeks. However, rigorous tasks are recommended after 4 weeks of surgery.
Normal Routine Food
The patients eat their normal routine diets. However, if your stomach is upset or there are other digestion issues, bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt can be eaten.
Problems Faced with Laparoscopic Hernia Surgery
Pain after Surgery
Depending on how well the surgery is performed. You can get quite a lot of pain after laparoscopic inguinal hernia repair. The pain is more likely to be related to the fact that the deep tissues have been cut and pulled, and staples may have been used to fix the mesh.
Organ Damage
The consequences of a the procedures can sometimes be serious. Due to the nature of operating by using a 2D video image of the site rather than proper 3D visualization there is the risk of major organ damage (blood vessel, bowel and bladder).
Risks Due to Anesthesia
Repairs have to be done under general anesthesia and that has its own risks. It might be a cause of concern for patients who have other medical conditions.
Wound Infection and Other Complications
Wound infection can occur. There can be a risk of urinary retention, bladder injury, and superficial incisional surgical site infection. There can be consistent groin pain and mesh infection and mesh erosion.